NPIMap

Organization Active NPI

Reclaiming My Mind Therapeutic Services

  • Mental Health Counselor
  • Oxford, NC
National Provider Identifier
1639980907
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECLAIMING MY MIND THERAPEUTIC SERVICES
Practice address
1213B Goshen St
Oxford, NC 27565-9313
Phone
(910) 309-9432
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Mr. Michael CarrollNPI 1811443187
Title
Ceo/Provider
Phone
(910) 309-9432

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1213B Goshen St
Oxford, NC 27565-9313

Mailing address

308 Peterson PL
Fayetteville, NC 28301-3102

National Provider Directory

National Provider Directory

Locations

1213B Goshen St
Oxford, NC 27565
Phone (910) 309-9432

Practitioners & affiliated clinicians

Practitioners 2

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1639980907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PETERSON PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213B GOSHEN ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275659313",
            "telephone_number": "910-309-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIMING MY MIND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "910-309-9432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.