Organization Active NPI

Mind Management Counseling LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, GA
National Provider Identifier
1184202764
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND MANAGEMENT COUNSELING LLC
Practice address
500 Wisteria Blvd
Covington, GA 30016-7265
Phone
(201) 953-5740
NPI assigned
Apr 1, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Ms. Carissa Best, APRN
Title
Aprn
Phone
(201) 953-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

500 Wisteria Blvd
Covington, GA 30016-7265

Mailing address

500 Wisteria Blvd
Covington, GA 30016-7265
Phone (201) 953-5740

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address carissa@mindmanagementllc.com
Direct Messaging Address Carissa@mindmanagentllc.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: carissa@mindmanagentllc.com

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1184202764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WISTERIA BLVD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167265",
            "telephone_number": "201-953-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WISTERIA BLVD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167265",
            "telephone_number": "201-953-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MANAGEMENT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "201-953-5740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carissa@mindmanagementllc.com",
            "affiliation": "N",
            "address_1": "500 Wisteria Blvd",
            "city": "Covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300167265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carissa@mindmanagentllc.com",
            "affiliation": "N",
            "address_1": "500 Wisteria Blvd",
            "city": "Covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300167265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.