Unanchored Minds LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNANCHORED MINDS LLC

Practice address

505 E 3Rd St
Lampasas, TX 76550-2910

Phone

(512) 734-3940

Fax

(512) 887-1254

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Wendy M Case, LCDC, LPC

Title

Owner

Phone

(512) 734-3940

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1174164743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 FM 580 E",
            "city": "KEMPNER",
            "state": "TX",
            "postal_code": "765398754",
            "telephone_number": "512-734-3940",
            "fax_number": "512-887-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 3RD ST",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765502910",
            "telephone_number": "512-734-3940",
            "fax_number": "512-887-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNANCHORED MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-734-3940",
        "authorized_official_credential": "LCDC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "79796",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC",
            "identifier": "14512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.