Organization Active NPI

Freeurmind Counselingand Supportive Services PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1649979949
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Lavondra BoydNPI 1053557637
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.