Mind What Matters Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND WHAT MATTERS PSYCHOTHERAPY, PLLC

Practice address

5149 Busted Rock TRL
Raleigh, NC 27610-2586

Phone

(919) 200-0663

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By 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

Vivian Hurlston Gonzalez, LCSW, LCASANPI 1558855106

Title

Psychotherapist/Owner

Phone

(919) 200-0663

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Hurlston Gonzalez, MSW, LCSW, LCASA

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1558855106
  NPD Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1326749995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 BUSTED ROCK TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102586",
            "telephone_number": "919-200-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WHAT MATTERS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "HURLSTON GONZALEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "919-200-0663",
        "authorized_official_credential": "LCSW, LCASA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mind Shine, LLC
• Mindful Counseling and Wellness PLLC
• Mindful Growth Psychiatry
• Mindful Healing Group
• Mindful Journey Behavioral Health PLLC
• Mindful Reflections

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Mar 13, 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.

Verify at the official NPI Registry.