Organization Active NPI

Mindset of Optimism

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingstree, SC
National Provider Identifier
1184479925
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDSET OF OPTIMISM
Practice address
4 Kit Ave
Kingstree, SC 29556-6770
Phone
(803) 260-0429
NPI assigned
Apr 23, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Paula Leggette
Title
Ao
Phone
(803) 260-0429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4 Kit Ave
Kingstree, SC 29556-6770

Mailing address

4 Kit Ave
Kingstree, SC 29556-6770
Phone (803) 445-5646

National Provider Directory

National Provider Directory

Locations

409 Martin Luther King Ave
Kingstree, SC 29556
Phone (803) 260-0429

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1184479925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KIT AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295566770",
            "telephone_number": "803-445-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KIT AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295566770",
            "telephone_number": "803-260-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET OF OPTIMISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LEGGETTE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "803-260-0429"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.