Princess Mitchell, LCMHC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

805 Spring Forest Rd Ste 800
Raleigh, NC 27609-9130

Phone

(919) 418-1718

Fax

(919) 794-5715

NPI assigned

Apr 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691193600000",
    "number": "1750778007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CHERRY LAUREL DR APT 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140050",
            "telephone_number": "910-736-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SPRING FOREST RD STE 800",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099130",
            "telephone_number": "919-418-1718",
            "fax_number": "919-794-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Westlake Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283144865",
            "country_code": "US",
            "telephone_number": "910-867-4417",
            "fax_number": "910-302-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PRINCESS",
        "name_prefix": "Mrs.",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Chayne Mitchell, CPHT
• Kasey Mitchell, MSW, LCSWA
• Kimlie Morrison Mitchell, MSW,LCSW
• Kristen Ann Mitchell, AGACNP-BC
• Mary Hannah Mitchell
• Robert B. Mitchell, LPC
• Robert Brinson Mitchell III
• Samyra Mitchell
• Susan Gatewood Mitchell, LCSW
• Thomas Kent Mitchell, D.C.

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.