Organization Active NPI

Great Minds Think Alike, PLLC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1073054383
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7648 Issued in NC
Legal business name
GREAT MINDS THINK ALIKE, PLLC
Practice address
690 N Reilly Rd
Suite 9
Fayetteville, NC 28303-5724
Phone
(910) 853-2580
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Ms. Enausa Davis, LPC, NCC, BCPCC, BCC
Title
President/Ceo
Phone
(404) 593-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 7648 NC Primary

Addresses

Primary practice location

690 N Reilly Rd
Suite 9
Fayetteville, NC 28303-5724

Mailing address

PO Box 48219
Cumberland, NC 28331-8219
Phone (910) 853-2580

National Provider Directory

National Provider Directory

Locations

690 N Reilly Rd
Ste 9
Fayetteville, NC 28303
Phone (910) 853-2580

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1073054383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48219",
            "city": "CUMBERLAND",
            "state": "NC",
            "postal_code": "283318219",
            "telephone_number": "910-853-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N REILLY RD",
            "address_2": "SUITE 9",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035724",
            "telephone_number": "910-853-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MINDS THINK ALIKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ENAUSA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "404-593-5391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC, BCPCC, BCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.