NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mindclub Kentucky LLC

Primary Care Nurse Practitioner in Hopkinsville, KY · enumerated 2025 · authorized official Kathy Richardson, Vp, Cao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033005079

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mindclub Kentucky LLC
Practice address 111 Derrick Pl, Hopkinsville, KY, 42240
Phone (833) 833-9655
Enumeration date Jun 16, 2025
Last updated in NPPES Jun 16, 2025

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Kathy Richardson
Title Vp, Cao
Phone (615) 390-2865

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mindclub Kentucky LLC?
Mindclub Kentucky LLC is registered in NPPES as a Primary Care Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-16.