SHINING STAR PSYCHIATRIC CARE LLC
NPI 1053149211
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA
About Shining Star Psychiatric Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINING STAR PSYCHIATRIC CARE LLC (NPI 1053149211), doing business as Melita Wilson-primus, is a healthcare organization registered as a psychiatric/mental health in Richmond, Virginia and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Melita Wilson Primus, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Waiver 49D2319022
Shining Star Psychiatric Care LLC · Richmond, VAFrequently 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 Shining Star Psychiatric Care LLC's NPI number?
The NPI number for Shining Star Psychiatric Care LLC is 1053149211. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as Melita Wilson-Primus.
Where is Shining Star Psychiatric Care LLC located?
Shining Star Psychiatric Care LLC is located at 2807 N Parham Rd Ste 311, Richmond, VA 23294. The listed phone number is (940) 249-0272.
What is Shining Star Psychiatric Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does Shining Star Psychiatric Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2319022) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shining Star Psychiatric Care LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shining Star Psychiatric Care Llc · NPI 1053149211
Psychiatric/Mental Health organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1053149211 (Entity type: Organization)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** MELITA WILSON-PRIMUS (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Melita Wilson Primus, PRESIDENT
## Practice location
- **Address:** 2807 N PARHAM RD STE 311, Richmond, VA 23294-4410
- **Phone:** (940) 249-0272
## Record status
- **NPPES last updated:** September 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053149211) · Data from the CMS NPPES public registry.