Active NPI
Playful Minds Counseling PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
National Provider Identifier
1619666534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PLAYFUL MINDS COUNSELING PLLC
- Practice address
- 823 Elm St Ste 210
Fayetteville, NC 28303-4164 - Phone
- (910) 339-1572
- Fax
- (910) 294-4989
- NPI assigned
- May 5, 2023
- 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
- Stefanie Smith
- Title
- Practice Manager
- Phone
- (910) 339-1572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
823 Elm St Ste 210
Fayetteville, NC 28303-4164
Mailing address
823 Elm St Ste 210
Fayetteville, NC 28303-4164
Phone (910) 339-1572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
823 Elm St
Ste 210
Fayetteville, NC 28303
Phone (910) 339-1572
823 Elm St
Ste 209
Fayetteville, NC 28303
Phone (910) 339-1572
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1285277970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1619666534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 ELM ST STE 210",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034164",
"telephone_number": "910-339-1572",
"fax_number": "910-294-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 ELM ST STE 210",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034164",
"telephone_number": "910-339-1572",
"fax_number": "910-294-4989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAYFUL MINDS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-30",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STEFANIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "910-339-1572"
},
"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 Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.