Changed Mindset Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGED MINDSET HEALTHCARE LLC

Practice address

100 Parsley LN
Littleton, NC 27850-8231

Phone

(919) 583-3024

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Kent Mason

Title

Assistant Manger

Phone

(919) 583-3024

Specialties & licenses 1

Addresses

Other names 2

• Mental Health Former legal business name
• Religious Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1629845607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLLIER PL APT 1D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139603",
            "telephone_number": "919-583-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARSLEY LN",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278508231",
            "telephone_number": "919-583-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGED MINDSET HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "ASSISTANT MANGER",
        "authorized_official_telephone_number": "919-583-3024"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Religious",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Littleton, NC
• Providers in Littleton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.