Mind Gym LLC
NPI 1134706229ActiveOrganization· Counselor, Mental Health· Centennial, CO
Counselor, Mental Health in Centennial, Colorado, registered in NPPES in March 2021. The authorized official on file is Leroy Matticks, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134706229 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Mar 25, 2021 |
| Certified by provider | Mar 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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