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CAROLINA BEHAVIORAL HEALTH AND WELLNESS, PLLC
NPI 1285236760
Nurse Practitioner - Psychiatric/Mental Health in New Bern, NC

Active since November 10, 2020CLIA 34D2239223 · Waiver
101 BANDON DR, NEW BERN, NC 28562(919) 522-7351 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Behavioral Health And Wellness, Pllc NPPES

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

CAROLINA BEHAVIORAL HEALTH AND WELLNESS, PLLC (NPI 1285236760) is a healthcare organization registered as a psychiatric/mental health in New Bern, North Carolina and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Kizzy H Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1285236760
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCAROLINA BEHAVIORAL HEALTH AND WELLNESS, PLLC
Location Address101 BANDON DRNew Bern, NC 28562-2300
Mailing Address101 Bandon DrNew Bern, NC 28562-2300 · (919) 522-7351
Phone(919) 522-7351
Organization SubpartNo
Authorized OfficialKizzy H PetersenPresident · (919) 522-7351
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1285236760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
101 BANDON DR, New Bern, NC 28562
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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

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 34D2239223

Carolina Behavioral Health And Wellness, PLLC · New Bern, NC
Active · expires Oct 10, 2027
CLIA Number34D2239223
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorKizzy H. Petersen
Laboratory Phone(252) 675-4600
Laboratory LocationCarolina Behavioral Health And Wellness, PLLC2002 S Glenburnie Rd Ste 4C, New Bern, NC 28562
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Carolina Behavioral Health And Wellness, PLLC's NPI number?

The NPI number for Carolina Behavioral Health And Wellness, PLLC is 1285236760. It was assigned to this organization in the NPPES registry on November 10, 2020.

Where is Carolina Behavioral Health And Wellness, PLLC located?

Carolina Behavioral Health And Wellness, PLLC is located at 101 Bandon Dr, New Bern, NC 28562. The listed phone number is (919) 522-7351.

What is Carolina Behavioral Health And Wellness, PLLC's specialty?

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

Does Carolina Behavioral Health And Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2239223) is associated with this NPI, valid through October 10, 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 Carolina Behavioral Health And Wellness, PLLC was last updated on November 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.