WILMINGTON MENTAL HEALTH
NPI 1396206330
Clinic/Center - Multi-Specialty in Wilmington, NC
About Wilmington Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMINGTON MENTAL HEALTH (NPI 1396206330) is a healthcare organization registered as a multi-specialty in Wilmington, North Carolina and active in the NPI registry since March 2019. The organization lists Joseph Rengifo, Psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 12
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilmington Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Wilmington Mental Health, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 Wilmington Mental Health, PLLC's NPI number?
The NPI number for Wilmington Mental Health, PLLC is 1396206330. It was assigned to this organization in the NPPES registry on March 30, 2019. The provider is doing business as Wilmington Mental Health.
Where is Wilmington Mental Health, PLLC located?
Wilmington Mental Health, PLLC is located at 3825 Market St Ste 4, Wilmington, NC 28403. The listed phone number is (910) 777-5575.
What is Wilmington Mental Health, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Wilmington Mental Health, PLLC enrolled in Medicare?
Yes. Wilmington Mental Health, PLLC is registered in the Medicare PECOS enrollment system.
When is Wilmington Mental Health, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wilmington Mental Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Wilmington Mental Health, 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. The largest specialties are Nurse Practitioner (5), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wilmington Mental Health, PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Wilmington Mental Health, 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 Wilmington Mental Health, PLLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wilmington Mental Health · NPI 1396206330
Multi-Specialty organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1396206330 (Entity type: Organization)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Wilmington Mental Health, Pllc
- **Organization subpart:** No
- **Authorized official:** Joseph Rengifo, PSYCHOTHERAPIST
## Practice location
- **Address:** 3825 MARKET ST STE 4, Wilmington, NC 28403-1426
- **Phone:** (910) 777-5575 · **Fax:** (910) 777-5273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Mental Health Counselor (4), Clinical Social Worker (2); 9 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396206330) · Data from the CMS NPPES public registry.