Active NPI
Mending Minds LLC
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1609521533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENDING MINDS LLC
- Practice address
- 2333 Alexandria Dr
Lexington, KY 40504-3215 - Phone
- (336) 602-8266
- NPI assigned
- Feb 18, 2022
- Last updated
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Rumley
- Title
- Executive Director
- Phone
- (336) 602-8266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2333 Alexandria Dr
Lexington, KY 40504-3215
Mailing address
228 Barons Rd
Clemmons, NC 27012-7203
Phone (336) 602-8266
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1609521533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BARONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270127203",
"telephone_number": "336-602-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 ALEXANDRIA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043215",
"telephone_number": "336-602-8266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDING MINDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "RUMLEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-602-8266"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.