=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679617955
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINDS MATTER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2007
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6701 W 64TH ST STE 125
-----------------------------------------------------
City | MISSION
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66202-4007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-789-9900
-----------------------------------------------------
Fax | 913-789-9900
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6701 W 64TH ST STE 125
-----------------------------------------------------
City | MISSION
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66202-4007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-789-9900
-----------------------------------------------------
Fax | 913-789-9900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | KATIE LINN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-348-4228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 2174
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------