Provider Demographics
NPI:1154202190
Name:GROUNDED MIND COUNSELING, PLLC
Entity type:Organization
Organization Name:GROUNDED MIND COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKERHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LCMHC
Authorized Official - Phone:386-451-0839
Mailing Address - Street 1:2650 ATWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5408
Mailing Address - Country:US
Mailing Address - Phone:386-451-0839
Mailing Address - Fax:
Practice Address - Street 1:138 S CHERRY ST STE 400
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5271
Practice Address - Country:US
Practice Address - Phone:386-451-0839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty