Active NPI
Monumental Foundations LLC
- Community/Behavioral Health Agency
- Wilmington, NC
National Provider Identifier
1386159929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MONUMENTAL FOUNDATIONS LLC
- Practice address
- 108 N Kerr Ave Ste J2
Wilmington, NC 28405-3401 - Phone
- (910) 540-6749
- Fax
- (910) 769-1772
- NPI assigned
- Dec 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Simmons, LCMHCS,LCAS,CCS
- Title
- Owner
- Phone
- (910) 540-6749
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
108 N Kerr Ave Ste J2
Wilmington, NC 28405-3401
Mailing address
PO Box 12132
Wilmington, NC 28405-0107
Phone (910) 540-6749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386159929 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ICANotes | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
108 N Kerr Ave
Ste C2
Wilmington, NC 28405
Phone (910) 540-6749
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Wilmington, NC
- NPI 1619414349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1386159929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12132",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284050107",
"telephone_number": "910-540-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N KERR AVE STE J2",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053401",
"telephone_number": "910-540-6749",
"fax_number": "910-769-1772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONUMENTAL FOUNDATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-05",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-540-6749",
"authorized_official_credential": "LCMHCS,LCAS,CCS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386159929",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ICANotes",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3953B Market St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284031403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.