Active NPI
Modern Minds
- Cognitive & Behavioral Psychologist
- Charleston, SC
National Provider Identifier
1992459044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- MODERN MINDS
- Practice address
- 40 Calhoun St Ste 240
Charleston, SC 29401-3534 - Phone
- (843) 531-9036
- Fax
- (833) 358-1254
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Burgett
- Title
- Director, Practice Operations
- Phone
- (843) 531-9036
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
40 Calhoun St Ste 240
Charleston, SC 29401-3534
Mailing address
40 Calhoun St Ste 240
Charleston, SC 29401-3534
Phone (843) 531-9036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000-000-0000 | Other | NO OTHER NUMBERS TO DECLARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | contactus@modern-minds.com | Other |
National Provider Directory
National Provider DirectoryLocations
40 Calhoun St
Ste 240
Charleston, SC 29401
Phone (843) 531-9036
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Charleston, SC
- NPI 1114671922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1992459044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CALHOUN ST STE 240",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013534",
"telephone_number": "843-531-9036",
"fax_number": "833-358-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CALHOUN ST STE 240",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013534",
"telephone_number": "843-531-9036",
"fax_number": "833-358-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN MINDS",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "BURGETT",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "DIRECTOR, PRACTICE OPERATIONS",
"authorized_official_telephone_number": "843-531-9036"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO OTHER NUMBERS TO DECLARE",
"identifier": "000-000-0000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "contactus@modern-minds.com",
"affiliation": "N",
"endpointDescription": "General Practice Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "General Information",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "40 Calhoun St Ste 240",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294013534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.