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PEACEFUL AURA BEHAVIORAL HEALTH SERVICES PLLC
NPI 1972291664
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since May 01, 2023CLIA 34D2342275 · Waiver
4801 E INDEPENDENCE BLVD STE 501, CHARLOTTE, NC 28212(704) 388-6736(949) 695-3608 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2026, Jun 20, 2023, May 1, 2023 (3 updates tracked since 2023).

About Peaceful Aura Behavioral Health Services Pllc NPPES

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

PEACEFUL AURA BEHAVIORAL HEALTH SERVICES PLLC (NPI 1972291664) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists De'edda Renae Powell, Ceo/dnp, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1972291664
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEACEFUL AURA BEHAVIORAL HEALTH SERVICES PLLC
Location Address4801 E INDEPENDENCE BLVD STE 501Charlotte, NC 28212-5494
Mailing Address4801 E Independence Blvd Ste 501Charlotte, NC 28212-5494 · (704) 388-6736 · Fax (949) 695-3608
Phone(704) 388-6736
Fax(949) 695-3608
Organization SubpartNo
Authorized OfficialDe'edda Renae PowellCeo/dnp, Pmhnp-bc · (704) 819-9079
Enumeration DateMay 1, 2023
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1972291664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4801 E INDEPENDENCE BLVD STE 501, Charlotte, NC 28212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Peaceful Aura Behavioral Health Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Peaceful Aura Behavioral Health Services PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dorene Caldwell, MSN, PMHNP-BC
Nurse Practitioner
NPI 1437030103
4801 E INDEPENDENCE BLVD STE 501
Charlotte, NC 28212
(704) 388-6736
✔ PECOS✔ Accepts MedicareSame address
Deedda Powell, DNP-PMHNP
Nurse Practitioner
NPI 1194443788
4801 E INDEPENDENCE BLVD STE 501
Charlotte, NC 28212
(704) 388-6736
✔ PECOS✔ Accepts MedicareSame address
Rasheka Walters, PMHNP-BC
Nurse Practitioner
NPI 1912876889
4801 E INDEPENDENCE BLVD STE 501
Charlotte, NC 28212
(704) 388-6736
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2342275

Peaceful Aura Behavioral Health Services, PLLC · Charlotte, NC
Active · expires Apr 15, 2028
CLIA Number34D2342275
Laboratory TypePractitioner Other
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorDe Edda Powell
Laboratory Phone(704) 388-6736
Laboratory LocationPeaceful Aura Behavioral Health Services, PLLC4801 E Independence Blvd, Suite 501, Charlotte, NC 28212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Peaceful Aura Behavioral Health Services PLLC's NPI number?

The NPI number for Peaceful Aura Behavioral Health Services PLLC is 1972291664. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Peaceful Aura Behavioral Health Services PLLC located?

Peaceful Aura Behavioral Health Services PLLC is located at 4801 E Independence Blvd Ste 501, Charlotte, NC 28212. The listed phone number is (704) 388-6736.

What is Peaceful Aura Behavioral Health Services PLLC's specialty?

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

Is Peaceful Aura Behavioral Health Services PLLC enrolled in Medicare?

Yes. Peaceful Aura Behavioral Health Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peaceful Aura Behavioral Health Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Peaceful Aura Behavioral Health Services 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peaceful Aura Behavioral Health Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2342275) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peaceful Aura Behavioral Health Services PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Peaceful Aura Behavioral Health Services 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 Peaceful Aura Behavioral Health Services PLLC was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.