Organization Active NPI

Inner Bridge Psychotherapy PLLC

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1679437768
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER BRIDGE PSYCHOTHERAPY PLLC
Practice address
103 Pillow LN
Burlington, NC 27217-9466
Phone
(984) 336-8784
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Nathalie Alejandra Fernandez Mendez, LCMHCANPI 1053048561
Title
Licensed Therapist/Owner
Phone
(984) 336-8784

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

103 Pillow LN
Burlington, NC 27217-9466

Mailing address

103 Pillow LN
Burlington, NC 27217-9466
Phone (984) 336-8784

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, 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": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1679437768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PILLOW LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179466",
            "telephone_number": "984-336-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PILLOW LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179466",
            "telephone_number": "984-336-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BRIDGE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ MENDEZ",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "LICENSED THERAPIST/OWNER",
        "authorized_official_telephone_number": "984-336-8784",
        "authorized_official_credential": "LCMHCA"
    },
    "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 Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.