Organization Active NPI

Monumental Foundations LLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1386159929
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Julie Simmons, LCMHCS,LCAS,CCSNPI 1619414349
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1386159929MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANotes Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112003700 NC Part B Supplier - Clinic/Group Practice 5890146989 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.