Active NPI
Alphamind Brain Centers, PLLC
- Professional Counselor
- Cary, NC
National Provider Identifier
1629709092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ALPHAMIND BRAIN CENTERS, PLLC
- Practice address
- 125 Edinburgh South Dr Ste 105
Cary, NC 27511-6484 - Phone
- (919) 408-2230
- NPI assigned
- Jun 17, 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
- Leona Kimberly Damico, LCMHC
- Title
- Ceo, Owner
- Phone
- (919) 408-2230
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
125 Edinburgh South Dr Ste 105
Cary, NC 27511-6484
Mailing address
125 Edinburgh South Dr Ste 105
Cary, NC 27511-6484
Phone (919) 408-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240530000216 | NC | Part B Supplier - Clinic/Group Practice | 4587006093 |
Receives reassigned benefits from 1 practitioner Practice locations: Cary, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Cary, NC
- NPI 1467230490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655424000000",
"number": "1629709092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 EDINBURGH SOUTH DR STE 105",
"city": "CARY",
"state": "NC",
"postal_code": "275116484",
"telephone_number": "919-408-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 EDINBURGH SOUTH DR STE 105",
"city": "CARY",
"state": "NC",
"postal_code": "275116484",
"telephone_number": "919-408-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHAMIND BRAIN CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-16",
"status": "A",
"authorized_official_last_name": "DAMICO",
"authorized_official_first_name": "LEONA",
"authorized_official_middle_name": "KIMBERLY",
"authorized_official_title_or_position": "CEO, OWNER",
"authorized_official_telephone_number": "919-408-2230",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.