Ascentia Mind and Body Wellness Center, PLLC
NPI 1205515566 · Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ascentia Mind and Body Wellness Center, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Charlotte, NC (NPI 1205515566).
Provider details
- NPI number
- 1205515566
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Claudette Green, Pmhnp/Clinical Director/Owner(704) 909-0304
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 120 Academy St Ste 102-136Fort Mill, SC 29715-1838Phone: (704) 909-0304Fax: (704) 772-1774
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Ascentia Mind and Body Wellness Center, PLLC's NPI number?
- Ascentia Mind and Body Wellness Center, PLLC's National Provider Identifier (NPI) is 1205515566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ascentia Mind and Body Wellness Center, PLLC?
- Ascentia Mind and Body Wellness Center, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ascentia Mind and Body Wellness Center, PLLC located?
- Ascentia Mind and Body Wellness Center, PLLC's practice location on file with NPPES is 1914 J N Pease Pl Ste 180&182, Charlotte, NC 28262-4504.
- What is Ascentia Mind and Body Wellness Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ascentia Mind and Body Wellness Center, PLLC is (704) 909-0302.
- Does Ascentia Mind and Body Wellness Center, PLLC accept Medicare?
- Ascentia Mind and Body Wellness Center, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ascentia Mind and Body Wellness Center, PLLC?
- The authorized official listed on Ascentia Mind and Body Wellness Center, PLLC's NPPES record is Claudette Green, Pmhnp/Clinical Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ascentia Mind and Body Wellness Center, PLLC's NPI active?
- Yes — Ascentia Mind and Body Wellness Center, PLLC's NPI (1205515566) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.