Pure Mind Counseling Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE MIND COUNSELING GROUP

Practice address

6741 Clark Rd
Powhatan, VA 23139-6419

Phone

(804) 491-5300

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Tamika L Massenburg

Title

Preaident

Phone

(804) 998-3393

Specialties & licenses 1

Addresses

Other names 1

• Pure Mind Counseling Group Doing business as

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1265062871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 CLARK RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231396419",
            "telephone_number": "804-491-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 CLARK RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231396419",
            "telephone_number": "804-491-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MIND COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "MASSENBURG",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PREAIDENT",
        "authorized_official_telephone_number": "804-998-3393"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Mind Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.