Organization Active NPI

Mended Hearts Counseling, PLLC

  • Mental Health Counselor
  • High Point, NC
National Provider Identifier
1548019755
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENDED HEARTS COUNSELING, PLLC
Practice address
1111 W English Rd
High Point, NC 27262-6823
Phone
(336) 609-7383
NPI assigned
May 18, 2024
Last updated
May 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Authorized official

Name
Enjonae AndersonNPI 1871843151
Title
Owner
Phone
(336) 609-7383

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Counseling Psychologist 103TC1900X

Addresses

Primary practice location

1111 W English Rd
High Point, NC 27262-6823

Mailing address

PO Box 16181
High Point, NC 27261-6181

National Provider Directory

National Provider Directory

Locations

1111 W English Rd
High Point, NC 27262
Phone (336) 609-7383

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": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1548019755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16181",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ENGLISH RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626823",
            "telephone_number": "336-609-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEARTS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ENJONAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-609-7383"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.