GROWTH MINDS LLC
NPI 1124715347
Social Worker - Clinical in Dayton, OH

Q: What is Growth Minds LLC's NPI number?

The NPI number for Growth Minds LLC is 1124715347. It was assigned to this organization in the NPPES registry on April 18, 2023.

Q: What is Growth Minds LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Growth Minds LLC was last updated on April 26, 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.

Active since April 18, 2023

1055 E CENTERVILLE STATION RD, DAYTON, OH 45459(937) 241-6403(937) 439-2984 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Growth Minds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROWTH MINDS LLC (NPI 1124715347) is a healthcare organization registered as a clinical in Dayton, Ohio and active in the NPI registry since April 2023. The organization lists Coleen Henderson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1124715347

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameGROWTH MINDS LLC

Location Address1055 E CENTERVILLE STATION RDDayton, OH 45459-5500

Mailing Address1055 E Centerville Station RdDayton, OH 45459-5500 · (937) 439-2984 · Fax (937) 439-2984

Phone(937) 241-6403

Fax(937) 439-2984

Organization SubpartNo

Authorized OfficialColeen HendersonSole Member · (937) 439-2984

Enumeration DateApril 18, 2023

Last NPPES UpdateApril 26, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1124715347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1055 E CENTERVILLE STATION RD, Dayton, OH 45459

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Growth Minds 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 Growth Minds LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Coleen Henderson, LISW-S

Clinical Social Worker

NPI 1639566466

1055 E CENTERVILLE STATION RD
Dayton, OH 45459

(937) 241-6403

✔ PECOS✔ Accepts MedicareSame address

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 Growth Minds LLC's NPI number?

The NPI number for Growth Minds LLC is 1124715347. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Growth Minds LLC located?

Growth Minds LLC is located at 1055 E Centerville Station Rd, Dayton, OH 45459. The listed phone number is (937) 241-6403.

What is Growth Minds LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Growth Minds LLC enrolled in Medicare?

Yes. Growth Minds LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Growth Minds LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Growth Minds 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 Growth Minds LLC was last updated on April 26, 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.