ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
NPI 1205515566
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Q: What is Ascentia Mind And Body Wellness Center, PLLC's specialty?

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

Active since July 14, 2023

1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262(704) 909-0302(704) 772-1774 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Jan 19, 2026, Dec 26, 2025 and 1 more (4 updates tracked since 2023).

On this page

About Ascentia Mind And Body Wellness Center, Pllc NPPES

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

ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC (NPI 1205515566) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Fort Mill and lists Claudette A Green, Pmhnp/clinical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1205515566

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameASCENTIA MIND AND BODY WELLNESS CENTER, PLLC

Location Address1914 J N PEASE PL STE 180&182Charlotte, NC 28262-4504

Mailing Address1914 J N Pease Pl Ste 180&182Charlotte, NC 28262-4504 · (704) 909-0302 · Fax (704) 772-1774

Phone(704) 909-0302

Fax(704) 772-1774

Organization SubpartNo

Authorized OfficialClaudette A GreenPmhnp/clinical Director/owner · (704) 909-0304

Enumeration DateJuly 14, 2023

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1205515566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1914 J N PEASE PL STE 180&182, Charlotte, NC 28262

Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Academy St Ste 102-136Fort Mill, SC 29715-1838 · Phone (704) 909-0304 · Fax (704) 772-1774

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Molina Healthcare.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)

Ascentia Mind And Body Wellness Center, Pllc 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 Ascentia Mind And Body Wellness Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claudette Green, NP

Nurse Practitioner

NPI 1790351427

1914 J N PEASE PL STE 180&182
Charlotte, NC 28262

(704) 909-0304

✔ PECOS✔ Accepts MedicareSame address

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 Ascentia Mind And Body Wellness Center, PLLC's NPI number?

The NPI number for Ascentia Mind And Body Wellness Center, PLLC is 1205515566. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Ascentia Mind And Body Wellness Center, PLLC located?

Ascentia Mind And Body Wellness Center, PLLC is located at 1914 J N Pease Pl Ste 180&182, Charlotte, NC 28262. The listed phone number is (704) 909-0302.

What is Ascentia Mind And Body Wellness Center, PLLC's specialty?

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

Is Ascentia Mind And Body Wellness Center, PLLC enrolled in Medicare?

Yes. Ascentia Mind And Body Wellness Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ascentia Mind And Body Wellness Center, PLLC?

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

What insurance does Ascentia Mind And Body Wellness Center, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Molina Healthcare list Ascentia Mind And Body Wellness Center, 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 Ascentia Mind And Body Wellness Center, PLLC was last updated on April 28, 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.