Organization Active NPI

Mindcare Counseling & Consulting, PLLC.

  • Clinical Psychologist
  • Mooresville, NC
National Provider Identifier
1497575856
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDCARE COUNSELING & CONSULTING, PLLC.
Practice address
116 Frostcliff LN
Mooresville, NC 28117-9414
Phone
(805) 704-9588
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Deserie Barragan, PSY.D.NPI 1184967226
Title
Owner
Phone
(805) 704-9588

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

116 Frostcliff LN
Mooresville, NC 28117-9414

Mailing address

116 Frostcliff LN
Mooresville, NC 28117-9414
Phone (805) 704-9588

Other names 1

  • Deserie R. Barragan, Psy.D. Other name

National Provider Directory

National Provider Directory

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1497575856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FROSTCLIFF LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179414",
            "telephone_number": "805-704-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FROSTCLIFF LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179414",
            "telephone_number": "805-704-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE COUNSELING & CONSULTING, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "BARRAGAN",
        "authorized_official_first_name": "DESERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-704-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deserie R. Barragan, Psy.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.