Organization Active NPI

Embodied Soul Durham, PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1235925314
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBODIED SOUL DURHAM, PLLC
Practice address
4720 Rose Rd
Durham, NC 27712-2913
Phone
(804) 467-1739
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Meghan Barry, LCMHCNPI 1104205038
Title
Owner
Phone
(804) 467-1739

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4720 Rose Rd
Durham, NC 27712-2913

Mailing address

4720 Rose Rd
Durham, NC 27712-2913
Phone (804) 467-1739

Other names 2

  • Embodied Soul Durham, PLLC Doing business as
  • Aspen Grove Counseling, PLLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1235925314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 ROSE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122913",
            "telephone_number": "804-467-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 ROSE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122913",
            "telephone_number": "804-467-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED SOUL DURHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-467-1739",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embodied Soul Durham, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Grove Counseling, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.