Organization Active NPI

Mindful Bodies

  • Counselor
  • Durham, NC
National Provider Identifier
1386278224
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MINDFUL BODIES
Practice address
1058 W Club Blvd Ofc 303C
Durham, NC 27701-1104
Phone
(919) 551-3459
NPI assigned
Mar 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Shawnta Wright
Title
LPCS
Phone
(919) 812-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1058 W Club Blvd Ofc 303C
Durham, NC 27701-1104

Mailing address

1058 W Club Blvd Ofc 303C
Durham, NC 27701-1104
Phone (919) 551-3459

National Provider Directory

National Provider Directory

Locations

1058 W Club Blvd
Ofc 303C
Durham, NC 27701
Phone (919) 551-3459

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1386278224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 W CLUB BLVD OFC 303C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011104",
            "telephone_number": "919-551-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 W CLUB BLVD OFC 303C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011104",
            "telephone_number": "919-551-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BODIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHAWNTA",
        "authorized_official_title_or_position": "LPCS",
        "authorized_official_telephone_number": "919-812-3172"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.