NPIMap

Organization Active NPI

Trolenberg and Company, PA

Doing business as Mindful Mind and Body

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1669513651
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003084 Issued in NC
Legal business name
TROLENBERG AND COMPANY, PA
Doing business as
Mindful Mind and Body
Practice address
3928 Wendy LN
Raleigh, NC 27606-1865
Phone
(919) 859-9768
Fax
(919) 229-0635
NPI assigned
Feb 11, 2007
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Kristen Jan Trolenberg, LCSWNPI 1356327969
Title
Owner/Provider
Phone
(919) 859-9768

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
Clinical Social Worker 1041C0700X C003084 NC Primary

Addresses

Primary practice location

3928 Wendy LN
Raleigh, NC 27606-1865

Mailing address

3928 Wendy LN
Raleigh, NC 27606-1865
Phone (919) 859-9768

Other practice location 1

4909 Waters Edge Dr
Suite 100
Raleigh, NC 27606-2462
Phone (919) 859-9768

Other practice location 2

1300 Stonemoor Ct
Raleigh, NC 27606-3461
Phone (919) 859-9768

Other names 1

  • Mindful Mind and Body Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228002049 NC Part B Supplier - Clinic/Group Practice 3870984974 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1669513651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 WENDY LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061865",
            "telephone_number": "919-859-9768",
            "fax_number": "919-229-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 WENDY LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061865",
            "telephone_number": "919-859-9768",
            "fax_number": "919-229-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 Waters Edge Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276062462",
            "country_code": "US",
            "telephone_number": "919-859-9768",
            "fax_number": "919-233-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Stonemoor Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276063461",
            "country_code": "US",
            "telephone_number": "919-859-9768",
            "fax_number": "919-859-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TROLENBERG AND COMPANY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "TROLENBERG",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-859-9768",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Mind and Body",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.