ESSENTIAL WELLNESS COUNSELING PLLC
NPI 1740805019
Counselor - Mental Health in Harrisburg, NC

Active since June 12, 2020
4350 MAIN ST STE 213, HARRISBURG, NC 28075(980) 236-1704(980) 206-0709 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Essential Wellness Counseling Pllc NPPES

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

ESSENTIAL WELLNESS COUNSELING PLLC (NPI 1740805019) is a healthcare organization registered as a mental health in Harrisburg, North Carolina and active in the NPI registry since June 2020. The organization lists Tyeekia Blue, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1740805019
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameESSENTIAL WELLNESS COUNSELING PLLC
Location Address4350 MAIN ST STE 213Harrisburg, NC 28075-7448
Mailing Address4350 Main St Ste 213Harrisburg, NC 28075-7448 · (980) 236-1704 · Fax (980) 206-0709
Fax(980) 206-0709
Organization SubpartNo
Authorized OfficialTyeekia BluePsychotherapist · (980) 236-1704
Enumeration DateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1740805019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4350 MAIN ST STE 213, Harrisburg, NC 28075

Other Identifiers 1

Medicaid1083153563NC

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

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)

Essential Wellness Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20220314000510Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Essential Wellness Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1083153563
4350 MAIN ST STE 213
Harrisburg, NC 28075
(980) 236-1704
✔ PECOSSame 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 Essential Wellness Counseling PLLC's NPI number?

The NPI number for Essential Wellness Counseling PLLC is 1740805019. It was assigned to this organization in the NPPES registry on June 12, 2020.

Where is Essential Wellness Counseling PLLC located?

Essential Wellness Counseling PLLC is located at 4350 Main St Ste 213, Harrisburg, NC 28075. The listed phone number is (980) 236-1704.

What is Essential Wellness Counseling PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Essential Wellness Counseling PLLC enrolled in Medicare?

Yes. Essential Wellness Counseling PLLC is registered in the Medicare PECOS enrollment system.

When is Essential Wellness Counseling 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 March 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 Essential Wellness Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Essential Wellness Counseling 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 Essential Wellness Counseling PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Essential Wellness Counseling 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 Essential Wellness Counseling PLLC was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.