Organization Active NPI

Alphamind Brain Centers, PLLC

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1629709092
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Leona Kimberly Damico, LCMHCNPI 1679005805
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20240530000216 NC Part B Supplier - Clinic/Group Practice 4587006093 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.