Mindgate Behavioral Specialists

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20131 Issued in NC

Legal business name

MINDGATE BEHAVIORAL SPECIALISTS

Practice address

803 Taylor Ave
High Point, NC 27260-7369

Phone

(336) 689-3444

Fax

(336) 886-1421

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sylvester R Smith, MSRC, LCMHCS, LCASNPI 1063641397

Title

Owner

Phone

(336) 689-3444

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Inclusion Counseling Services, LLC. Former legal business name

Practitioners 2

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

• Sylvester R. Smith, MSRC; LPC, CRC, LCAS

  • Mental Health Counselor
  • High Point, NC
  • NPI 1063641397

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Karis Taylor, LCMHC-A, M.S

  • Mental Health Counselor
  • High Point, NC
  • NPI 1063219251
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1962932822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607369",
            "telephone_number": "336-689-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607369",
            "telephone_number": "336-689-3444",
            "fax_number": "336-886-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDGATE BEHAVIORAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-689-3444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSRC, LCMHCS, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20131",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NC",
            "license": "S8977",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inclusion Counseling Services, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen Alan Mills, MD
• Howard Milton Jr.
• Milton'S Manor #2
• Mindful Innovations
• Mindful Therapeutic Community Support Program
• Jean Therese Mitchell, LCSW
• John S Mitchell, MD
• Meredith Thompson Mitchell, FNP
• Rebecca West Mitchell, PA-C
• Renee R. Mitchell, OT

• Addiction (Substance Use Disorder) Counselor in High Point, NC
• Providers in High Point, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.