Active NPI
Mindcare Counseling & Consulting, PLLC.
- Clinical Psychologist
- Mooresville, NC
National Provider Identifier
1497575856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deserie Barragan, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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.
National Provider Directory
National Provider DirectoryPractitioners & 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.