NPIMap

Organization Active NPI

Mindful Therapeutic Community Support Program

  • Community/Behavioral Health Agency
  • High Point, NC
National Provider Identifier
1811833643
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM
Practice address
1981 Eastchester Dr Ste B
High Point, NC 27265-1404
Phone
(336) 905-8011
Fax
(336) 905-8097
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Dr. Crystal Montague, DNP, FNP-C, PMHNP-BCNPI 1669887774
Title
Organizational Director/QP
Phone
(336) 905-8011

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1981 Eastchester Dr Ste B
High Point, NC 27265-1404

Mailing address

1981 Eastchester Dr
High Point, NC 27265-1404
Phone (336) 905-8011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1811833643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651404",
            "telephone_number": "336-905-8011",
            "fax_number": "336-905-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 EASTCHESTER DR STE B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651404",
            "telephone_number": "336-905-8011",
            "fax_number": "336-905-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ORGANIZATIONAL DIRECTOR/QP",
        "authorized_official_telephone_number": "336-905-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.