Organization Active NPI

Embodied Minds

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1134901853
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBODIED MINDS
Practice address
3200 Nimich Pond Way
Raleigh, NC 27613-7290
Phone
(919) 302-4078
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Mrs. Beth Michelle Lewis, LCMHCNPI 1356850051
Title
Owner/Psychotherapist
Phone
(919) 302-4078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3200 Nimich Pond Way
Raleigh, NC 27613-7290

Mailing address

3200 Nimich Pond Way
Raleigh, NC 27613-7290
Phone (919) 302-4078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1134901853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NIMICH POND WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137290",
            "telephone_number": "919-302-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NIMICH POND WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137290",
            "telephone_number": "919-302-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-302-4078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.