Organization Active NPI

Aspiring Mindz LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McDonough, GA
National Provider Identifier
1558112268
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASPIRING MINDZ LLC
Practice address
155 Westridge Pkwy Ste 110
McDonough, GA 30253-3050
Phone
(470) 682-3132
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Mrs. Jenise Tehvon Greene, LPCNPI 1255042495
Title
Therapist
Phone
(470) 682-3132

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

155 Westridge Pkwy Ste 110
McDonough, GA 30253-3050

Mailing address

155 Westridge Pkwy Ste 110
McDonough, GA 30253-3050
Phone (470) 682-3132

Other names 1

  • Aspiring Mindz LLC Other name

National Provider Directory

National Provider Directory

Locations

155 Westridge Pkwy
Ste 110
McDonough, GA 30253
Phone (470) 682-3132

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1558112268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "470-682-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "470-682-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRING MINDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JENISE",
        "authorized_official_middle_name": "TEHVON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "470-682-3132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspiring Mindz LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.