Mindful Wellness Counseling, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL WELLNESS COUNSELING, PC

Practice address

714 W Corbett Ave Ste 12
Swansboro, NC 28584-8437

Phone

(910) 939-8406

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Leigh Berryhill, LCMHCANPI 1124690284

Title

Owner/Operator

Phone

(910) 939-8406

Specialties & licenses 1

Addresses

Locations

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.

• Tracy Leigh Berryhill, LCMHCA

  • Mental Health Counselor
  • Swansboro, NC
  • NPI 1124690284
  NPD Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1790486298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 DOCKSIDE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469769",
            "telephone_number": "910-939-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W CORBETT AVE STE 12",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848437",
            "telephone_number": "910-939-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-939-8406",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Matthews, DPT
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• Mental Health Counselor in Swansboro, NC
• Providers in Swansboro, 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 Mar 13, 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.