BEAUTIFIUL MIND BEHAVIORAL HEALTH SERVICES PLLC
NPI 1275175911
Psychiatry & Neurology - Psychiatry in Burlington, NC

Active since October 15, 2019CLIA 34D2193890 · Accreditation
1638 MEMORIAL DR, BURLINGTON, NC 27215(336) 438-2525(336) 438-2526 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 10, 2020, Oct 15, 2019 (2 updates tracked since 2019).

About Beautifiul Mind Behavioral Health Services Pllc NPPES

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

BEAUTIFIUL MIND BEHAVIORAL HEALTH SERVICES PLLC (NPI 1275175911) is a healthcare organization registered as a psychiatry in Burlington, North Carolina and active in the NPI registry since October 2019. The organization holds an CLIA Accreditation certificate valid through November 14, 2026 and lists Spencer Simon, Md, as its authorized official.

NPPES Registry Identity

NPI1275175911
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBEAUTIFIUL MIND BEHAVIORAL HEALTH SERVICES PLLC
Location Address1638 MEMORIAL DRBurlington, NC 27215-3518
Mailing Address1638 Memorial DrBurlington, NC 27215-3518 · (336) 438-2525 · Fax (336) 438-2526
Fax(336) 438-2526
Organization SubpartNo
Authorized OfficialSpencer SimonMd · (336) 438-2525
Enumeration DateOctober 15, 2019
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1275175911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPhysician AssistantTaxonomy 363A00000X
1638 MEMORIAL DR, Burlington, NC 27215

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beautifiul Mind Behavioral Health Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Beautifiul Mind Behavioral Health Services PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Psychiatry
NPI 1023052503
923 BROAD ST
Durham, NC 27705
(919) 220-4224
✔ PECOS31 mi
Nurse Practitioner
NPI 1790310274
3643 N ROXBORO ST
Durham, NC 27704
(919) 470-4000
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1831861921
3643 N ROXBORO ST
Durham, NC 27704
(919) 470-6405
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1740050574
1216 FINLEY EXCHANGE DR
Holly Springs, NC 27540
(201) 932-6427
✔ PECOS47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2193890

Beautiful Mind Behavioral Health Services, PLLC · Burlington, NC
Active · expires Nov 14, 2026
CLIA Number34D2193890
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorMs. Yvette Smith
Laboratory Phone(336) 438-2525
Laboratory LocationBeautiful Mind Behavioral Health Services, PLLC1638 Memorial Drive, Burlington, NC 27215
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Beautifiul Mind Behavioral Health Services PLLC's NPI number?

The NPI number for Beautifiul Mind Behavioral Health Services PLLC is 1275175911. It was assigned to this organization in the NPPES registry on October 15, 2019.

Where is Beautifiul Mind Behavioral Health Services PLLC located?

Beautifiul Mind Behavioral Health Services PLLC is located at 1638 Memorial Dr, Burlington, NC 27215. The listed phone number is (336) 438-2525.

What is Beautifiul Mind Behavioral Health Services PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Beautifiul Mind Behavioral Health Services PLLC enrolled in Medicare?

Yes. Beautifiul Mind Behavioral Health Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beautifiul Mind Behavioral Health Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Beautifiul Mind Behavioral Health Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beautifiul Mind Behavioral Health Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2193890) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beautifiul Mind Behavioral Health Services PLLC accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Beautifiul Mind Behavioral Health Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beautifiul Mind Behavioral Health Services PLLC was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.