CJC LLC
NPI 1104643436
Nurse Practitioner - Psychiatric/Mental Health in Pawtucket, RI

Active since September 26, 2024
11 GEORGE ST STE 1, PAWTUCKET, RI 02860(401) 992-5145 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Jun 17, 2025, Sep 26, 2024 (3 updates tracked since 2024).

About Cjc Llc NPPES

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

CJC LLC (NPI 1104643436), doing business as Wellness Health And Therapy Services, is a healthcare organization registered as a psychiatric/mental health in Pawtucket, Rhode Island and active in the NPI registry since September 2024. The organization lists Chinwendu Jennifer Chukwudike, Aprn, as its authorized official.

NPPES Registry Identity

NPI1104643436
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCJC LLC
Location Address11 GEORGE ST STE 1Pawtucket, RI 02860-4097
Mailing Address11 George St Ste 1Pawtucket, RI 02860-4097 · (401) 992-5145
Organization SubpartNo
Authorized OfficialChinwendu Jennifer ChukwudikeAprn · (401) 992-5145
Enumeration DateSeptember 26, 2024
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1104643436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11 GEORGE ST STE 1, Pawtucket, RI 02860

Other Names 1

Doing Business AsWellness Health And Therapy Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cjc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cjc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1982176020
41 FAIRE HARBOUR PL
New London, CT 06320
(860) 437-6914
✔ PECOS✔ Accepts Medicare52 mi

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

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 Cjc LLC's NPI number?

The NPI number for Cjc LLC is 1104643436. It was assigned to this organization in the NPPES registry on September 26, 2024. The provider is doing business as Wellness health and therapy services.

Where is Cjc LLC located?

Cjc LLC is located at 11 George St Ste 1, Pawtucket, RI 02860. The listed phone number is (401) 992-5145.

What is Cjc LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cjc LLC enrolled in Medicare?

Yes. Cjc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cjc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cjc LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cjc LLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.