Organization Active NPI

Connected Souls

  • Intellectual & Developmental Disabilities Psychologist
  • Laurinburg, NC
National Provider Identifier
1902773104
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
CONNECTED SOULS
Practice address
16221 Hillcrest Ave Ste C
Laurinburg, NC 28352-5801
Phone
(910) 229-9073
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Mrs. Selena G McKinnon
Title
Ceo
Phone
(910) 229-9073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

16221 Hillcrest Ave Ste C
Laurinburg, NC 28352-5801

Mailing address

16221 Hillcrest Ave Ste C
Laurinburg, NC 28352-5801
Phone (910) 229-9073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1902773104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16221 HILLCREST AVE STE C",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525801",
            "telephone_number": "910-229-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 HILLCREST AVE STE C",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525801",
            "telephone_number": "910-229-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED SOULS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-229-9073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.