Organization Active NPI

Integrative Minds

  • Marriage & Family Therapist
  • Cornelius, NC
National Provider Identifier
1376316893
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INTEGRATIVE MINDS
Practice address
21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875
Phone
(919) 407-8791
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ryan C Clifford, MA, LMFTNPI 1831428697
Title
Owner and LMFT
Phone
(775) 230-4423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875

Mailing address

21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875
Phone (919) 407-8791

Other names 1

  • Integrative Minds LLC Doing business as

National Provider Directory

National Provider Directory

Locations

21000 Torrence Chapel Rd
Ste 204
Cornelius, NC 28031
Phone (919) 407-8791

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1376316893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 204",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316875",
            "telephone_number": "919-407-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 204",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316875",
            "telephone_number": "919-407-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER AND LMFT",
        "authorized_official_telephone_number": "775-230-4423",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Minds LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.