NPIMap

Organization Active NPI

Myndspace Mental Health Education & Consulting, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1215541669
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC
Practice address
4 Carriage LN Ste 200
Charleston, SC 29407-6049
Phone
(803) 351-8252
NPI assigned
Sep 3, 2020
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dr. Cerrissa Michelle Hugie, DNP, PMHNP-BCNPI 1538695846
Title
Owner/Provider
Phone
(803) 351-8252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4 Carriage LN Ste 200
Charleston, SC 29407-6049

Mailing address

4 Carriage LN Ste 200
Charleston, SC 29407-6049
Phone (803) 351-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614000802 SC Part B Supplier - Clinic/Group Practice 7517367519 Receives reassigned benefits from 7 practitioners
Practice locations: Charleston, SC; Columbia, SC

National Provider Directory

National Provider Directory

Locations

4 Carriage Ln
Ste 200
Charleston, SC 29407
Phone (843) 266-7573

801 Gervais St
Unit 2B
Columbia, SC 29201
Phone (229) 563-1954

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25144/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1215541669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARRIAGE LN STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076049",
            "telephone_number": "803-351-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARRIAGE LN STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076049",
            "telephone_number": "803-351-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "HUGIE",
        "authorized_official_first_name": "CERRISSA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "803-351-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.