Patric Lee Mitchell, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC-21179 Issued in NC

Practice address

10520 Ligon Mill Rd Ste 100a
Wake Forest, NC 27587-4586

Phone

(919) 330-3840

NPI assigned

Jan 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empire Labs LLC

  • Clinical Medical Laboratory
  • Brooklyn, NY
  • NPI 1144975483
  NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1386455293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MINGOCREST DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457667",
            "telephone_number": "919-999-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD STE 100A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874586",
            "telephone_number": "919-330-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PATRIC",
        "middle_name": "LEE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-21179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Counseling Professionals, PLLC
• Mindscape ABA and Educational Services
• Amy Catherine Minor, LMFT
• Minton Compounding Lab
• Arthur H Minton, RPH
• Melanie Mivshek
• Autumn Kaylen Mize, LCMHC
• Jessica Mohr, FNP
• Monarch
• Monarch Mental Health Counseling

• Addiction (Substance Use Disorder) Counselor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.