MINDRISE, LLC
NPI 1255091815
Social Worker - Clinical in Mcdonough, GA

Active since December 23, 2021
1220 PENNSYLVANIA AVE, MCDONOUGH, GA 30253(470) 593-0720 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindrise, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDRISE, LLC (NPI 1255091815) is a healthcare organization registered as a clinical in Mcdonough, Georgia and active in the NPI registry since December 2021. The organization lists Shelly-anne Johnson, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1255091815
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDRISE, LLC
Location Address1220 PENNSYLVANIA AVEMcdonough, GA 30253-8999
Mailing Address1415 Highway 85 N Ste 310-446Fayetteville, GA 30214-7738 · (470) 593-0720
Organization SubpartNo
Authorized OfficialShelly-anne JohnsonOwner/therapist · (470) 593-0720
Enumeration DateDecember 23, 2021
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1255091815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1220 PENNSYLVANIA AVE, Mcdonough, GA 30253

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1220 PENNSYLVANIA AVE
MCDONOUGH, GA 30253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindrise, LLC's NPI number?

The NPI number for Mindrise, LLC is 1255091815. It was assigned to this organization in the NPPES registry on December 23, 2021.

Where is Mindrise, LLC located?

Mindrise, LLC is located at 1220 Pennsylvania Ave, Mcdonough, GA 30253. The listed phone number is (470) 593-0720.

What is Mindrise, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mindrise, LLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.