Organization Active NPI

Mindfully at Peace

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1942033626
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFULLY AT PEACE
Practice address
220 E Boulder Rd
Henderson, NC 27537-6982
Phone
(984) 365-3532
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Keiro Yahney BranchNPI 1669115986
Title
Owner
Phone
(984) 365-3532

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

220 E Boulder Rd
Henderson, NC 27537-6982

Mailing address

220 E Boulder Rd
Henderson, NC 27537-6982
Phone (984) 365-3532

National Provider Directory

National Provider Directory

Locations

615 Lewis St
Ste 100C
Oxford, NC 27565

Practitioners & affiliated clinicians

Practitioners 1

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1942033626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E BOULDER RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376982",
            "telephone_number": "984-365-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E BOULDER RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376982",
            "telephone_number": "984-365-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY AT PEACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "KEIRO",
        "authorized_official_middle_name": "YAHNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-365-3532"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.