Mentor Behavioral Healthcare & Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C01375 Issued in NC

Legal business name

MENTOR BEHAVIORAL HEALTHCARE & ASSOCIATES

Practice address

249 Wilson Dr Ste 5
Boone, NC 28607-8782

Phone

(828) 268-2172

Fax

(877) 211-7323

NPI assigned

Nov 27, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig Bowman McKinney, LCSW

Title

Manager

Phone

(828) 773-3887

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1275047433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WILSON DR STE 5",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078782",
            "telephone_number": "828-268-2172",
            "fax_number": "877-211-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WILSON DR STE 5",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078782",
            "telephone_number": "828-268-2172",
            "fax_number": "877-211-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR BEHAVIORAL HEALTHCARE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BOWMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-773-3887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2555",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "2555",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "2555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C01375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra L Mehrer, LPT
• Keith Orval Meinecke, PA-C
• Lara Mele, IBCLC, RLC
• Katharine Lightfoot Mena, LCMHCA
• Mentor Behavioral Health Care Inc
• Steven Timothy Meyer, CRNA
• Michael J Mayhew DDS Ms PA
• Kurt D. Michael, PH.D.
• Eva Mihm, LCAS
• Jeffrey Lawrence Milhaupt, CRNA

• Clinical Social Worker in Boone, NC
• Providers in Boone, 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 Jun 16, 2018; 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.