Mindmatters Hypnosis and Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001378 Issued in NC

Legal business name

MINDMATTERS HYPNOSIS AND COUNSELING, INC.

Practice address

10225 Hickorywood Hill Ave
Suite B
Huntersville, NC 28078-3430

Phone

(704) 796-8542

Fax

(704) 932-0538

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Carole Miller Bombardier, LCSW

Title

Owner/Clinician

Phone

(704) 932-5788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Johanna Lynn Covault, LCSW

  • Clinical Social Worker
  • Concord, NC
  • NPI 1720540123
  NPD (past)
• Langley K Hoeferkamp, LCMHCA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1841093127
  NPD (past)
• Jodie Anne Tuchman, LCSW

  • Clinical Social Worker
  • Concord, NC
  • NPI 1982304069
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1275816258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CRIPPLE CREEK RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815760",
            "telephone_number": "704-932-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783430",
            "telephone_number": "704-796-8542",
            "fax_number": "704-932-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDMATTERS HYPNOSIS AND COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "BOMBARDIER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "704-932-5788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Miller
• Taylor Ashlyn Miller, M.S., CCC-SLP
• Gannon Neil Millsaps, PA-S
• Mary-Anne Jones Mimier, NP-C
• Mindful Intentions, PLLC
• Sara Minty
• William R Mitchell, MD
• Zakiya Zawadi Mitchell
• Alberto R. Mizrachi, MD
• Shatara Mobley

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, 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 Sep 26, 2011; 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.