1. Home
  2. Directory
  3. Utah
  4. Cottonwood Heights
  5. Counselor
  6. NPI Profile

MINDGYM NEUROFEEDBACK LLC
NPI 1013805860
Counselor - Mental Health in Cottonwood Heights, UT

Active since June 27, 2025
1123 E BROADWING LN APT 107, COTTONWOOD HEIGHTS, UT 84121(720) 290-0154 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2025, Jun 27, 2025 (2 updates tracked since 2025).

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

NPI1013805860
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMINDGYM NEUROFEEDBACK LLC
Location Address1123 E BROADWING LN APT 107Cottonwood Heights, UT 84121-7628
Mailing Address8008 E Arapahoe Ct Ste 100Centennial, CO 80112-6839 · (720) 290-0154
Phone(720) 290-0154
Organization SubpartNo
Authorized OfficialLeroy MatticksOwner · (720) 513-5092
Enumeration DateJune 27, 2025
Last NPPES UpdateNovember 15, 20252 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
✔ NPI 1013805860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1123 E BROADWING LN APT 107, Cottonwood Heights, UT 84121
Open in Google Maps ↗

Other Names 1

Other NameMind Gym Neurofeedback

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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 9 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.