Mindclub Kentucky LLC
NPI 1033005079 · Primary Care Nurse Practitioner · Hopkinsville, KY
Mindclub Kentucky LLC is a Primary Care Nurse Practitioner organization in Hopkinsville, KY (NPI 1033005079).
Provider details
- NPI number
- 1033005079
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kathy Richardson, Vp, Cao(615) 390-2865
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Mindclub Kentucky LLC's NPI number?
- Mindclub Kentucky LLC's National Provider Identifier (NPI) is 1033005079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindclub Kentucky LLC?
- Mindclub Kentucky LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mindclub Kentucky LLC located?
- Mindclub Kentucky LLC's practice location on file with NPPES is 111 Derrick Pl, Hopkinsville, KY 42240-1325.
- What is Mindclub Kentucky LLC's phone number?
- The practice phone number listed in the NPPES registry for Mindclub Kentucky LLC is (833) 833-9655.
- Who is the authorized official for Mindclub Kentucky LLC?
- The authorized official listed on Mindclub Kentucky LLC's NPPES record is Kathy Richardson, Vp, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindclub Kentucky LLC's NPI active?
- Yes — Mindclub Kentucky LLC's NPI (1033005079) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.