Organization Active NPI

Mindlife Matters, PC

  • Marriage & Family Therapist
  • Winston Salem, NC
National Provider Identifier
1982946372
Registry record updated Mar 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1362 Issued in NC
Legal business name
MINDLIFE MATTERS, PC
Practice address
3504 Vest Mill Rd
Suite 4
Winston Salem, NC 27103-2985
Phone
(336) 791-2311
Fax
(336) 791-2312
NPI assigned
Mar 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2013

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

Authorized official

Name
Liat Gerber Handing, LMFT
Title
President
Phone
(646) 438-0437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1362 NC
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1362 NC Primary

Addresses

Primary practice location

3504 Vest Mill Rd
Suite 4
Winston Salem, NC 27103-2985

Mailing address

3504 Vest Mill Rd
Suite 4
Winston Salem, NC 27103-2985
Phone (336) 791-2311

National Provider Directory

National Provider Directory

Locations

3504 Vest Mill Rd
Ste 4
Winston Salem, NC 27103
Phone (336) 791-2311

NPI Registry JSON

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363996800000",
    "number": "1982946372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 VEST MILL RD",
            "address_2": "SUITE 4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032985",
            "telephone_number": "336-791-2311",
            "fax_number": "336-791-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 VEST MILL RD",
            "address_2": "SUITE 4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032985",
            "telephone_number": "336-791-2311",
            "fax_number": "336-791-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDLIFE MATTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-23",
        "last_updated": "2013-03-23",
        "status": "A",
        "authorized_official_last_name": "HANDING",
        "authorized_official_first_name": "LIAT",
        "authorized_official_middle_name": "GERBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-438-0437",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "1362",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; 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.