Organization Active NPI

Mindful Purpose Counseling PLLC

  • Community/Behavioral Health Agency
  • Brevard, NC
National Provider Identifier
1194229203
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5234 Issued in NC
Legal business name
MINDFUL PURPOSE COUNSELING PLLC
Practice address
196 Whitmire St
Brevard, NC 28712-4498
Phone
(828) 595-4116
NPI assigned
Mar 22, 2018
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Dr. Alexis Nicole Marsh, PSY.D
Title
Clinical Psychologist
Phone
(828) 595-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5234 NC Primary

Addresses

Primary practice location

196 Whitmire St
Brevard, NC 28712-4498

Mailing address

681 Dotsi Dr
Brevard, NC 28712-7459
Phone (828) 595-4116

Other practice location 1

127 N Broad St Ste B
Brevard, NC 28712-4463
Phone (828) 595-4116

National Provider Directory

National Provider Directory

Locations

127 N Broad St
Ste B
Brevard, NC 28712
Phone (828) 595-4116

170 S Broad St
Ste 2B
Brevard, NC 28712
Phone (828) 595-4116

196 Whitmire St
Brevard, NC 28712
Phone (828) 595-4116

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1194229203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 DOTSI DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287127459",
            "telephone_number": "828-595-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WHITMIRE ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124498",
            "telephone_number": "828-595-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 N Broad St Ste B",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124463",
            "country_code": "US",
            "telephone_number": "828-595-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL PURPOSE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "828-595-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.