Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PENROSE CREATIVE HEALING PLLC
NPI 1457201204
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wilmington, NC

Active since January 31, 2026
4622 CEDAR AVE STE 122, WILMINGTON, NC 28403(910) 408-2558 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Jan 31, 2026 (2 updates tracked since 2026).

About Penrose Creative Healing Pllc NPPES

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

PENROSE CREATIVE HEALING PLLC (NPI 1457201204) is a healthcare organization registered as a mental health (including community mental health center) in Wilmington, North Carolina and active in the NPI registry since January 2026. The organization lists Pamela Penrose, Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1457201204
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePENROSE CREATIVE HEALING PLLC
Location Address4622 CEDAR AVE STE 122Wilmington, NC 28403-4481
Mailing Address4622 Cedar Ave Ste 122Wilmington, NC 28403-4481
Organization SubpartNo
Authorized OfficialPamela PenroseMental Health Counselor · (910) 408-2558
Enumeration DateJanuary 31, 2026
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1457201204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4622 CEDAR AVE STE 122, Wilmington, NC 28403

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4622 CEDAR AVE STE 122
WILMINGTON, NC 28403

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 Penrose Creative Healing PLLC's NPI number?

The NPI number for Penrose Creative Healing PLLC is 1457201204. It was assigned to this organization in the NPPES registry on January 31, 2026.

Where is Penrose Creative Healing PLLC located?

Penrose Creative Healing PLLC is located at 4622 Cedar Ave Ste 122, Wilmington, NC 28403. The listed phone number is (910) 408-2558.

What is Penrose Creative Healing PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Penrose Creative Healing PLLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.