THE MIND CLINIC LLC
NPI 1104519024
Nurse Practitioner - Psychiatric/Mental Health in Overland Park, KS
About The Mind Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MIND CLINIC LLC (NPI 1104519024) is a healthcare organization registered as a psychiatric/mental health in Overland Park, Kansas and active in the NPI registry since May 2023. The organization lists Sospeter Otieno, Organizer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Mind Clinic 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 The Mind Clinic 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 The Mind Clinic LLC's NPI number?
The NPI number for The Mind Clinic LLC is 1104519024. It was assigned to this organization in the NPPES registry on May 26, 2023.
Where is The Mind Clinic LLC located?
The Mind Clinic LLC is located at 8101 College Blvd Ste 100, Overland Park, KS 66210. The listed phone number is (913) 227-9605.
What is The Mind Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is The Mind Clinic LLC enrolled in Medicare?
Yes. The Mind Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Mind Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The Mind Clinic 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.
When was this NPI record last updated?
The NPPES record for The Mind Clinic LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# The Mind Clinic Llc · NPI 1104519024
Psychiatric/Mental Health organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since May 26, 2023.
## Identity
- **NPI:** 1104519024 (Entity type: Organization)
- **Enumerated:** May 26, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Sospeter Otieno, ORGANIZER
## Practice location
- **Address:** 8101 COLLEGE BLVD STE 100, Overland Park, KS 66210-2671
- **Phone:** (913) 227-9605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104519024) · Data from the CMS NPPES public registry.