Individual provider Active NPI

Kierra Monique Mundine, M.S, LCMHC

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1780119792
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18254 Issued in NC
Practice address
2507 Pinnix St # a
Greensboro, NC 27405-7336
Phone
(252) 631-0049
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18254 NC Primary
Mental Health Counselor 101YM0800X TPMC4965 FL

Addresses

Primary practice location

2507 Pinnix St # a
Greensboro, NC 27405-7336

Mailing address

201 N Murrow Blvd # 68
Greensboro, NC 27401-2914
Phone (252) 631-0049

Other practice location 1

418 Eugene Ct
Greensboro, NC 27401-2714
Phone (252) 631-0049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001003756 NC Practitioner - Mental Health Counselor 9537690532 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TPMC4965FLMDMental Health Counselor
18254NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Lane CurrentSince Jul 1, 2024 Accepting new patients
Seeking Self PLLC Mental Health CurrentSince Jun 3, 2025 Accepting new patients
Progressing Through Therapy, PLLC Mental Health Past Accepting new patients

Locations

200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515

418 Eugene Ct
Greensboro, NC 27401
Phone (336) 355-1271

201 N Murrow Blvd
#68
Greensboro, NC 27401

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1780119792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MURROW BLVD # 68",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012914",
            "telephone_number": "252-631-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 PINNIX ST # A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057336",
            "telephone_number": "252-631-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Eugene Ct",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012714",
            "country_code": "US",
            "telephone_number": "252-631-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDINE",
        "first_name": "KIERRA",
        "middle_name": "MONIQUE",
        "credential": "M.S, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "18254",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC4965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.