TEAM MENTATION PLLC
NPI 1942911417
Nurse Practitioner - Psychiatric/Mental Health in Nickelsville, VA

Active since December 06, 2022CLIA 49D2297036 · Waiver
11708 NICKELSVILLE HWY STE 2, NICKELSVILLE, VA 24271(276) 248-1880(276) 258-0616 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Apr 15, 2024, Nov 9, 2023 and 4 more (7 updates tracked since 2022).

About Team Mentation Pllc NPPES

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

TEAM MENTATION PLLC (NPI 1942911417) is a healthcare organization registered as a psychiatric/mental health in Nickelsville, Virginia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Derick Steven Reedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1942911417
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTEAM MENTATION PLLC
Location Address11708 NICKELSVILLE HWY STE 2Nickelsville, VA 24271-2872
Mailing AddressPo Box 270Nickelsville, VA 24271-0270 · (276) 248-1880 · Fax (276) 258-0616
Fax(276) 258-0616
Organization SubpartNo
Authorized OfficialDerick Steven ReedyOwner · (276) 248-1880
Enumeration DateDecember 6, 2022
Last NPPES UpdateMarch 4, 20267 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1942911417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse PractitionerTaxonomy 363L00000X
11708 NICKELSVILLE HWY STE 2, Nickelsville, VA 24271

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2297036

Team Mentation PLLC · Nickelsville, VA
Active · expires Jan 9, 2028
CLIA Number49D2297036
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorDerick S. Reedy
Laboratory Phone(276) 248-1880
Laboratory LocationTeam Mentation PLLC11708 Nickelsville Hwy, Suite 200, Nickelsville, VA 24271
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
11708 NICKELSVILLE HWY STE 2
NICKELSVILLE, VA 24271
Nurse Practitioner (Psychiatric/Mental Health)
11708 NICKELSVILLE HWY STE 2
NICKELSVILLE, VA 24271

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 Team Mentation PLLC's NPI number?

The NPI number for Team Mentation PLLC is 1942911417. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Team Mentation PLLC located?

Team Mentation PLLC is located at 11708 Nickelsville Hwy Ste 2, Nickelsville, VA 24271. The listed phone number is (276) 248-1880.

What is Team Mentation PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Team Mentation PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2297036) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Team Mentation PLLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.