Active NPI
Mindful Pathways Psychiatric Services
Doing business as Mindful Pathways Psychiatric Services PLLC
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1184458143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MINDFUL PATHWAYS PSYCHIATRIC SERVICES
- Doing business as
- Mindful Pathways Psychiatric Services PLLC
- Practice address
- 5010 Randall Pkwy
Wilmington, NC 28403-2829 - Phone
- (910) 791-5719
- Fax
- (910) 799-8180
- NPI assigned
- Aug 30, 2024
- Last updated
- Oct 12, 2026
- 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
- Danielle Kurtz, DNP, APRN, PMHNP-BC
- Title
- Provider/ Nurse Practitioner
- Phone
- (910) 791-5719
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU |
Addresses
Primary practice location
5010 Randall Pkwy
Wilmington, NC 28403-2829
Mailing address
5010 Randall Pkwy
Wilmington, NC 28403-2829
Phone (910) 791-5719
Other names 1
- Mindful Pathways Psychiatric Services PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2329994 | Mindful Pathways Psychiatric Services | Certificate of waiver | Sep 8, 2027 |
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, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, NC
- NPI 1295564706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1184458143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 RANDALL PKWY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032829",
"telephone_number": "910-791-5719",
"fax_number": "910-799-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 RANDALL PKWY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032829",
"telephone_number": "910-791-5719",
"fax_number": "910-799-8180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL PATHWAYS PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "KURTZ",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "PROVIDER/ NURSE PRACTITIONER",
"authorized_official_telephone_number": "910-791-5719",
"authorized_official_credential": "DNP, APRN, PMHNP-BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindful Pathways Psychiatric Services PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.