Organization Active NPI

Mind Nourishment Counseling, PLLC

  • Mental Health Counselor
  • Mebane, NC
National Provider Identifier
1518765684
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND NOURISHMENT COUNSELING, PLLC
Practice address
411 Willow Brook CT
Mebane, NC 27302
Phone
(919) 824-4386
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Ingle Reid, LCMHCNPI 1831722834
Title
Owner
Phone
(919) 824-4386

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

411 Willow Brook CT
Mebane, NC 27302

Mailing address

1183 University Dr Ste 105
Burlington, NC 27215-8315
Phone (919) 824-4386

Other names 1

  • Mind Nourishment Counseling, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1183 University Dr
Ste 105
Burlington, NC 27215
Phone (336) 202-6634

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1518765684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 UNIVERSITY DR STE 105",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158315",
            "telephone_number": "919-824-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WILLOW BROOK CT",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "919-824-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND NOURISHMENT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "INGLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-824-4386",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Nourishment Counseling, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.