Active NPI
Mind Management Counseling LLC
- Psychiatric/Mental Health Nurse Practitioner
- Covington, GA
National Provider Identifier
1184202764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2021
- 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
- Ms. Carissa Best, APRN
- Title
- Aprn
- Phone
- (201) 953-5740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carissa@mindmanagementllc.com | ||
| Direct Messaging Address | Carissa@mindmanagentllc.com |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.