Soundmind Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUNDMIND COUNSELING, PLLC

Practice address

2432 W Peoria Ave Ste 1123
Phoenix, AZ 85029-4733

Phone

(480) 382-6522

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By 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

Mrs. Althea Bynum, LCSWNPI 1063625549

Title

Owner

Phone

(480) 382-6522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Soundmind Counseling, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Althea Bynum, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1063625549
  Medicare reassignment NPD Authorized official
• Laura Jean Rambikur

  • Student in an Organized Health Care Education/Training Program
  • Brighton, MA
  • NPI 1215303839
  NPD
• Amy Kathleen Engle, LMFT

  • Professional Counselor
  • Bethany, OK
  • NPI 1790324556
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1982214128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1123",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294733",
            "telephone_number": "480-382-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1123",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294733",
            "telephone_number": "480-382-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDMIND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-382-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soundmind Counseling, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.