Anais Kineyda Mendieta, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013650 Issued in NC

Practice address

5814 Blacksmith Dr
Raleigh, NC 27606-7701

Phone

(910) 644-0081

NPI assigned

Dec 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Journey Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1538092093

  Clinical

  NPD Authorized official
• Renew Counseling Center of NC LLC

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1528470325
  NPD (past)

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1194296749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 FOOTBRIDGE LN STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069695",
            "telephone_number": "910-920-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 BLACKSMITH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276067701",
            "telephone_number": "910-644-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "ANAIS",
        "middle_name": "KINEYDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013650",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25246",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Menday, DPT
• Matthew Mendel, PH.D.
• John Mendenhall II, PT, DPT
• Robert R Mendes, MD
• Rodrigo Mendez
• Mending Hearts Home Care, LLC
• Laura Mendoza
• Nuri Alondra Mendoza, LCSWA
• Richard Mendzef
• Carolyn S Menendez, M.D.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.