Organization Active NPI

Mountain Mindfulness Therapy, LLC

  • Clinical Social Worker
  • Morganton, GA
National Provider Identifier
1659890929
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004103 Issued in GA
Legal business name
MOUNTAIN MINDFULNESS THERAPY, LLC
Practice address
12304 Morganton Hwy Unit 812
Morganton, GA 30560-3296
Phone
(404) 566-7761
NPI assigned
Sep 18, 2017
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Michelle Nelson, LCSWNPI 1114948551
Title
LCSW
Phone
(404) 566-7761

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
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 004103 GA Primary

Addresses

Primary practice location

12304 Morganton Hwy Unit 812
Morganton, GA 30560-3296

Mailing address

PO Box 812
Morganton, GA 30560-0812
Phone (404) 566-7761

National Provider Directory

National Provider Directory

Locations

12304 Morganton Hwy
Unit 812
Morganton, GA 30560
Phone (404) 566-7761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1659890929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "MORGANTON",
            "state": "GA",
            "postal_code": "305600812",
            "telephone_number": "404-566-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 MORGANTON HWY UNIT 812",
            "city": "MORGANTON",
            "state": "GA",
            "postal_code": "305603296",
            "telephone_number": "404-566-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MINDFULNESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "404-566-7761",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.