Active NPI
Freeurmind Counselingand Supportive Services PLLC
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1649979949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FREEURMIND COUNSELINGAND SUPPORTIVE SERVICES PLLC
- Practice address
- 1830 Owen Dr Ste 10
Fayetteville, NC 28304-3412 - Phone
- (910) 317-9205
- NPI assigned
- Feb 27, 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
- Lavondra Boyd
- Title
- Owner
- Phone
- (910) 818-0728
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
1830 Owen Dr Ste 10
Fayetteville, NC 28304-3412
Mailing address
7125 Dayspring Dr
Fayetteville, NC 28314-6532
Phone (910) 818-0728
National Provider Directory
National Provider DirectoryPractitioners & 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 1053557637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1649979949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 DAYSPRING DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283146532",
"telephone_number": "910-818-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 OWEN DR STE 10",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043412",
"telephone_number": "910-317-9205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEURMIND COUNSELINGAND SUPPORTIVE SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "LAVONDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-818-0728"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 27, 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.