Active NPI
Katherine Mendat List, LPCS
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1306162334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S7867
- Practice address
- 1020 Washington St
Raleigh, NC 27605-1258 - Phone
- (919) 551-2312
- Fax
- (919) 516-0057
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7867 | NC | |
| Mental Health Counselor | 101YM0800X | S7876 | NC | |
| Mental Health Counselor | 101YM0800X | S7867 | NC | Primary |
Addresses
Primary practice location
1020 Washington St
Raleigh, NC 27605-1258
Mailing address
3913 Iron Horse Rd
Raleigh, NC 27616-5044
Phone (843) 367-4819
Other practice location 1
8394 Six Forks Rd Ste 104
Raleigh, NC 27615-3057
Phone (843) 367-4819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7867 | NC | MD | Mental Health Counselor |
| S7867 | NC | MD | Mental Health Counselor |
| S7876 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindly Group, PLLC | Mental Health | Current | Accepting new patients |
Locations
8394 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (843) 367-4819
8406 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (919) 617-9656
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1306162334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 IRON HORSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276165044",
"telephone_number": "843-367-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 WASHINGTON ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051258",
"telephone_number": "919-551-2312",
"fax_number": "919-516-0057"
}
],
"practiceLocations": [
{
"address_1": "8394 Six Forks Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276153057",
"country_code": "US",
"telephone_number": "843-367-4819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIST",
"first_name": "KATHERINE",
"middle_name": "MENDAT",
"credential": "LPCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7867",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S7876",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S7867",
"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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.