HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC
NPI 1881583755
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

NPI Status: Active since July 02, 2025

Contact Information

100 E MONMOUTH ST
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 225-2528

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC

This page provides the complete NPI Profile along with additional information for Healing Waters Holistic Mental Wellness, Pllc, a provider established in Winston Salem, North Carolina operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1881583755 assigned on July 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated June 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Corey Roman Nurse Practitioner (Owner/operator)

NPI
1881583755
Provider Name
HEALING WATERS HOLISTIC MENTAL WELLNESS, PLLC
Entity Type
Organization
Location Address
100 E MONMOUTH ST WINSTON SALEM, NC 27127
Location Phone
(336) 225-2528
Mailing Address
100 E MONMOUTH ST WINSTON SALEM, NC 27127
Mailing Phone
(980) 549-0433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2025
Last Update Date
06-15-2026
Code Navigator

A nurse practitioner (NP) like Healing Waters Holistic Mental Wellness, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COREY ROMAN NURSE PRACTITIONER

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(336) 225-2528

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881583755, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 5 → 10 → 1 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 0 + 8 + 6 + 7 + 1 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1881583755.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881583755, enumerated as an "organization" on July 02, 2025.

The provider is located at 100 E MONMOUTH ST WINSTON SALEM, NC 27127 and the phone number is (336) 225-2528.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.