Active NPI
Enlightened Minds PLLC
- Professional Counselor
- Cary, NC
National Provider Identifier
1174243182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ENLIGHTENED MINDS PLLC
- Practice address
- 964 High House Rd # 3002
Cary, NC 27513-3574 - Phone
- (919) 635-4758
- Fax
- (919) 891-1615
- NPI assigned
- Aug 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Gleim, MS, NC LCMHC
- Title
- Owner
- Phone
- (919) 635-4758
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
964 High House Rd # 3002
Cary, NC 27513-3574
Mailing address
964 High House Rd # 3002
Cary, NC 27513-3574
Phone (919) 635-4758
Other practice location 1
106 New Edition Ct
Cary, NC 27511-4449
Phone (919) 635-4758
Other practice location 2
823 W 5th St
Winston Salem, NC 27101-2544
Phone (919) 635-4758
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1174243182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 HIGH HOUSE RD # 3002",
"city": "CARY",
"state": "NC",
"postal_code": "275133574",
"telephone_number": "919-635-4758",
"fax_number": "919-981-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 HIGH HOUSE RD # 3002",
"city": "CARY",
"state": "NC",
"postal_code": "275133574",
"telephone_number": "919-635-4758",
"fax_number": "919-891-1615"
}
],
"practiceLocations": [
{
"address_1": "106 New Edition Ct",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275114449",
"country_code": "US",
"telephone_number": "919-635-4758",
"fax_number": "919-891-1615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "823 W 5th St",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271012544",
"country_code": "US",
"telephone_number": "919-635-4758",
"fax_number": "919-891-1615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENLIGHTENED MINDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "GLEIM",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-635-4758",
"authorized_official_credential": "MS, NC LCMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.