Peaceful Minds NC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEACEFUL MINDS NC, LLC

Practice address

288 Bunting Dr
Lexington, NC 27295-8945

Phone

(702) 499-4922

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Lina Roe

Title

Owner

Phone

(252) 420-8824

Specialties & licenses 1

Addresses

Other names 1

• Peaceful Minds NC, LLC Other name

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1124883855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BUNTING DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958945",
            "telephone_number": "702-499-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BUNTING DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958945",
            "telephone_number": "702-499-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MINDS NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-420-8824"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Minds NC, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Peaceful Minds NC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Lexington, NC
• Providers in Lexington, 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 Mar 11, 2024; 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.