Justis Mitchell, LCSW-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P022354 Issued in NC

Practice address

1777 Fordham Blvd Ste 204
Chapel Hill, NC 27514-5885

Phone

(919) 283-3137

NPI assigned

Jul 8, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1033009345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N HYDE PARK AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033015",
            "telephone_number": "336-479-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 FORDHAM BLVD STE 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145885",
            "telephone_number": "919-283-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JUSTIS",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P022354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Mistry
• Alexandra Kincaid Mitchell, PT, DPT
• Elizabeth J Mitchell, PT, DPT
• Jessica Christina Mitchell
• Jonathan Thomas Mitchell, MD
• Stuart Leighton Mitchell, M.D.
• Tara N Mitchell, MSW, LCSW
• Andrew Carter Mixson, MD
• Nancy L Mize, OD
• Molly Mizenko, MS

• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.