Mental Edge Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTAL EDGE COUNSELING PLLC

Doing business as

Mental Edge Counseling, LLC

Practice address

204 W Arlington Blvd Ste a
Greenville, NC 27834-5762

Phone

(302) 382-8698

Fax

(302) 269-3800

NPI assigned

Nov 28, 2023

Last updated

Jul 23, 2024By 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

John Vander Ven, LPCMHNPI 1669713020

Title

Co-Owner

Phone

(302) 382-8698

Specialties & licenses 1

Addresses

Other names 1

• Mental Edge Counseling, LLC Doing business as

Locations

Practitioners 3

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.

• John E. Vanderven Jr., LPCMH

  • Professional Counselor
  • Dover, DE
  • NPI 1669713020
  NPD Authorized official
• Erin Maroney Thompson, LPCMH

  • Professional Counselor
  • Greenville, NC
  • NPI 1518578707
  NPD
• Kenneth L Phillips

  • Professional Counselor
  • Dover, DE
  • NPI 1194221408
  NPD (past)

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1922874247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W ARLINGTON BLVD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345762",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL EDGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "VANDER VEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "302-382-8698",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Edge Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mental Edge Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rehman Ali Memon, MD
• Barbara Cobb Memory, PH.D., MT-BC
• Eric Thomas Mendenhall, MD
• Rafael A Mendez, DMD.
• Candace Mendoza, NP
• Mentoring for Change, Inc
• Katherine Mercer
• Nichole A. Mercer, OTR/L
• Shawnya Mercer
• Gianna Marie Mercogliano, MD

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, 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 Jul 23, 2024; 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.