Organization Active NPI

Mindful Journey Network PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1518840495
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL JOURNEY NETWORK PLLC
Practice address
5845 Cougar LN
Charlotte, NC 28269-1554
Phone
(704) 914-7121
Fax
(704) 353-7040
NPI assigned
Jul 29, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Alexis Brianna Lowe Surratt, LCMHC
Title
Owner
Phone
(704) 914-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5845 Cougar LN
Charlotte, NC 28269-1554

Mailing address

10926 David Taylor Dr.
Ste 120 Pmb460
Charlotte, NC 28262
Phone (704) 914-7121

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, 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": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1518840495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR.",
            "address_2": "STE 120 PMB460",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-914-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 COUGAR LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691554",
            "telephone_number": "704-914-7121",
            "fax_number": "704-353-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL JOURNEY NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "LOWE SURRATT",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-914-7121",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.