Simply Mind Over Matter LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SIMPLY MIND OVER MATTER LLC

Practice address

5540 Centerview Dr Ste 204
Raleigh, NC 27606-8012

Phone

(910) 690-6648

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tabatha A. Treager, LCSWNPI 1144983545

Title

Business Owner/Employee

Phone

(910) 690-6648

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tabatha Anne Treager, LCSW

  • Clinical Social Worker
  • Fort Bragg, NC
  • NPI 1144983545
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1750136941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 SWANNS STATION RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273327796",
            "telephone_number": "910-690-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "910-690-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6375 Swanns Station Rd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273327796",
            "country_code": "US",
            "telephone_number": "910-690-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLY MIND OVER MATTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "TREAGER",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "910-690-6648",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolai Simonsen, DC
• Mary Marshall Simonson, LPC
• Dylan Thomas Simpkins
• Simple Solution, Inc.
• Simply Centered Psychological Services. PLLC
• Simply Speaking Pediatric Therapy Services
• Simply Well Therapy, PLLC
• Brandee Simpson, FNP-C
• Caitlin Simpson
• Cindy Simpson, MA, LCMHCA

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.