BREATH OF LIFE MENTAL HEALTH AND WELLNESS
NPI 1912716739
Nurse Practitioner - Psychiatric/Mental Health in Greenville, NC
About Breath Of Life Mental Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREATH OF LIFE MENTAL HEALTH AND WELLNESS (NPI 1912716739) is a healthcare organization registered as a psychiatric/mental health in Greenville, North Carolina and active in the NPI registry since January 2025. The organization lists Judgette Green, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breath Of Life Mental Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Breath Of Life Mental Health And Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Breath Of Life Mental Health And Wellness's NPI number?
The NPI number for Breath Of Life Mental Health And Wellness is 1912716739. It was assigned to this organization in the NPPES registry on January 6, 2025.
Where is Breath Of Life Mental Health And Wellness located?
Breath Of Life Mental Health And Wellness is located at 710 Cromwell Dr Ste F, Greenville, NC 27858. The listed phone number is (252) 651-3325.
What is Breath Of Life Mental Health And Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Breath Of Life Mental Health And Wellness enrolled in Medicare?
Yes. Breath Of Life Mental Health And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breath Of Life Mental Health And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Breath Of Life Mental Health And Wellness. 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 Breath Of Life Mental Health And Wellness accept?
Health plans from Blue Cross and Blue Shield of NC list Breath Of Life Mental Health And Wellness 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 Breath Of Life Mental Health And Wellness was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Breath Of Life Mental Health And Wellness · NPI 1912716739
Psychiatric/Mental Health organization in Greenville, North Carolina. Organization record, active in the CMS NPPES registry since January 6, 2025.
## Identity
- **NPI:** 1912716739 (Entity type: Organization)
- **Enumerated:** January 6, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Judgette Green, OWNER
## Practice location
- **Address:** 710 CROMWELL DR STE F, Greenville, NC 27858-5441
- **Phone:** (252) 651-3325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1912716739) · Data from the CMS NPPES public registry.