MINDGYM NEUROFEEDBACK LLC
NPI 1013805860
Counselor - Mental Health in Cottonwood Heights, UT
About Mindgym Neurofeedback Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDGYM NEUROFEEDBACK LLC (NPI 1013805860) is a healthcare organization registered as a mental health in Cottonwood Heights, Utah and active in the NPI registry since June 2025. The organization lists Leroy Matticks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindgym Neurofeedback Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindgym Neurofeedback LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mindgym Neurofeedback LLC's NPI number?
The NPI number for Mindgym Neurofeedback LLC is 1013805860. It was assigned to this organization in the NPPES registry on June 27, 2025. The provider is also known as Mind Gym Neurofeedback.
Where is Mindgym Neurofeedback LLC located?
Mindgym Neurofeedback LLC is located at 1123 E Broadwing Ln Apt 107, Cottonwood Heights, UT 84121. The listed phone number is (720) 290-0154.
What is Mindgym Neurofeedback LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mindgym Neurofeedback LLC enrolled in Medicare?
Yes. Mindgym Neurofeedback LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindgym Neurofeedback LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindgym Neurofeedback LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mindgym Neurofeedback LLC accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mindgym Neurofeedback LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mindgym Neurofeedback LLC was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mindgym Neurofeedback Llc · NPI 1013805860
Mental Health organization in Cottonwood Heights, Utah. Organization record, active in the CMS NPPES registry since June 27, 2025.
## Identity
- **NPI:** 1013805860 (Entity type: Organization)
- **Enumerated:** June 27, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Mind Gym Neurofeedback (Other Name)
- **Organization subpart:** No
- **Authorized official:** Leroy Matticks, OWNER
## Practice location
- **Address:** 1123 E BROADWING LN APT 107, Cottonwood Heights, UT 84121-7628
- **Phone:** (720) 290-0154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1013805860) · Data from the CMS NPPES public registry.