Organization Active NPI

Mind Garden Behavioral Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matthews, NC
National Provider Identifier
1588536858
Registry record updated Jul 29, 2026
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
MIND GARDEN BEHAVIORAL HEALTH, PLLC
Practice address
10931 E Independence Blvd Ste D20
Matthews, NC 28105-5056
Phone
(704) 312-0496
Fax
(704) 519-2700
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Shannon L Anes, MSN, APRN, PMHNP-BCNPI 1447140728
Title
Member/Organizer
Phone
(704) 312-0496

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

10931 E Independence Blvd Ste D20
Matthews, NC 28105-5056

Mailing address

10931 E Independence Blvd Ste D20
Matthews, NC 28105-5056
Phone (704) 312-0496

National Provider Directory

National Provider Directory

Locations

8001 Raintree Ln
Ste 2131106
Charlotte, NC 28277
Phone (704) 312-0496

10931 E Independence Blvd
Ste D20
Matthews, NC 28105

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1588536858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 E INDEPENDENCE BLVD STE D20",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055056",
            "telephone_number": "704-312-0496",
            "fax_number": "704-519-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 E INDEPENDENCE BLVD STE D20",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055056",
            "telephone_number": "704-312-0496",
            "fax_number": "704-519-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND GARDEN BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ANES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "704-312-0496",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "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": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.