MEDICARE: KINDRED MINDS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528926946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDRED MINDS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1010 MARQUEZ PL STE D5
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-1724
Country	:	US
Telephone Number	:	505-695-9389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 MARQUEZ PL STE D5
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-1724
Country	:	US
Telephone Number	:	505-695-9389
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA PIKE BENNETT
Credential	:	LPCC
Telephone Number	:	505-695-9389

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	06/10/2026

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