MIND OVER MATTER NPI 1053092080

NPI Information

  • NPI: 1053092080
  • Provider Name: MIND OVER MATTER
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1703 CITY VIEW DR APT 121
    MADISON, WI
    ZIP 53718
  • Phone: (608) 886-4716

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NPI Details

MIND OVER MATTER is an addiction (substance use disorder) counselor in Madison, WI. MIND OVER MATTER NPI is 1053092080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1703 CITY VIEW DR APT 121
MADISON, WI
ZIP 53718-410
Phone: (608) 886-4716

The provider's authorized official is Kevin L Doss .
The authorized official title is Clinical Substance Abuse Counselor and has the following contact phone number (608) 886-4716.

The enumeration date for this NPI number is 7/31/2023 and was last updated on 7/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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