Organization Active NPI

Infinity Growth, a Psychotherapy Practice PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1265194112
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INFINITY GROWTH, A PSYCHOTHERAPY PRACTICE PLLC
Practice address
8300 Health Park Ste 201
Raleigh, NC 27615-4731
Phone
(919) 675-2259
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Maren Londahl-Smidt, LCSW, LCAS
Title
Owner
Phone
(919) 675-2259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8300 Health Park Ste 201
Raleigh, NC 27615-4731

Mailing address

4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813

National Provider Directory

National Provider Directory

Locations

4509 Creedmoor Rd
Ste 201
Raleigh, NC 27612
Phone (919) 881-8295

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1265194112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-675-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY GROWTH, A PSYCHOTHERAPY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "LONDAHL-SMIDT",
        "authorized_official_first_name": "MAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-675-2259",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.