Mentphys Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTPHYS WELLNESS PLLC

Doing business as

MentPhys Wellness

Practice address

316 W Millbrook Rd Ste 209
Raleigh, NC 27609-4482

Phone

(919) 397-0081

Fax

(919) 516-0072

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Beardsley-Glover, LCMHCNPI 1265945471

Title

Owner and Licensed Therapist

Phone

(919) 397-0081

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MentPhys Wellness Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Lynn Beardsley-Glover, LPCA

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1265945471
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1508433582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MILLBROOK RD STE 209",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094482",
            "telephone_number": "919-397-0081",
            "fax_number": "919-516-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MILLBROOK RD STE 209",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094482",
            "telephone_number": "919-397-0081",
            "fax_number": "919-516-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTPHYS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY-GLOVER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER AND LICENSED THERAPIST",
        "authorized_official_telephone_number": "919-397-0081",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF NC",
            "identifier": "1265945471",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "1265945471",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "practice management software for therapists",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "316 W Millbrook Rd Ste 209",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276094482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MentPhys Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Wealth and Prosperity, PLLC
• Mental Wellness & Inner Peace Inc PC
• Keith Casey Menton, CAA
• Mentor Abi, LLC (NeuroRestorative North Carolina)
• Angillo Mentor, LICENSED THERAPIST
• Nancy Louise Mentzel, BSPHARM
• Meraki Healthfirst LLC (HealthFirst Transport)
• Leah Gabrielle Mercadante, PA-C
• Michael Lawrence Mercadante, PA
• Mercedes Aybar-Diaz, DDS, PA

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.