NPIMap

Organization Active NPI

Mended Hearts Counseling

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1821425604
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9248 Issued in NC
Legal business name
MENDED HEARTS COUNSELING
Practice address
620 E Lexington Ave
High Point, NC 27262-2755
Phone
(336) 609-7383
NPI assigned
Oct 11, 2013
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Mrs. Enjonae Anderson, MA, LPCNPI 1871843151
Title
Owner
Phone
(336) 609-7383

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9248 NC Primary

Addresses

Primary practice location

620 E Lexington Ave
High Point, NC 27262-2755

Mailing address

PO Box 16181
High Point, NC 27261-6181
Phone (336) 609-7383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1821425604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16181",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616181",
            "telephone_number": "336-609-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622755",
            "telephone_number": "336-609-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEARTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ENJONAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-609-7383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9248",
            "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 Oct 11, 2013; 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.