Mending Minds Behavioral Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5006507 Issued in NC

Legal business name

MENDING MINDS BEHAVIORAL HEALTH, PLLC

Practice address

1766 Metromedical Dr
Fayetteville, NC 28304-3861

Phone

(910) 426-6363

Fax

(910) 426-6364

NPI assigned

Oct 8, 2016

Last updated

Oct 9, 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

Casey J Scott, APRN,PMHNP-BC,FNP-CNPI 1417206491

Title

Owner

Phone

(910) 973-3407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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.

• Casey J Scott, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1417206491
  Medicare reassignment NPD Authorized official
• Katasha Jarrin, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1154865251
  Medicare reassignment NPD

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1992255434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-426-6363",
            "fax_number": "910-426-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-426-6363",
            "fax_number": "910-426-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283066703",
            "country_code": "US",
            "telephone_number": "910-426-6363",
            "fax_number": "910-426-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDING MINDS BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-973-3407",
        "authorized_official_credential": "APRN,PMHNP-BC,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mend Counseling Services PLLC
• Mended Willow
• Celia M Mendes, M.D.
• Alexander Mendez Acatitlan
• Mending Mental Health PLLC (Mending Mental Health)
• Norma Mendizabal Ventura
• Juliana Mendonca de Figueiredo, MD
• Eleanor Digamon Mendoza, FNP-BC, FNP-C, CCRN
• Erica Mendoza
• Eliana Menlik

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.