Mended Counseling & Consultation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENDED COUNSELING & CONSULTATION

Practice address

615 E 6TH St Ste 114
Charlotte, NC 28202-2918

Phone

(704) 352-9391

Fax

(704) 270-5173

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Evonne Jenkins, LCSW

Title

Owner

Phone

(313) 212-4194

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mishaun L Mitchell, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1578274205
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1548890908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD STE 107-251",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "704-352-9391",
            "fax_number": "704-210-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 6TH ST STE 114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022918",
            "telephone_number": "704-352-9391",
            "fax_number": "704-270-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "EVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-212-4194",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poojitha Malli Goud Memula, PA
• Scott Menaker, DDS
• Chelsea Menard, MA SSP
• Johanna Elizabeth Hughes Mencel, PA-C
• Patricia Mencel, APRN
• David R Mendelsohn, MD
• Margaret Mendenhall Shirley, LCSW
• Ashlyn Raquel Mendez, BCBA
• Evelyn Mendez
• Mending Peaces LLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.