Headspace & Wellness Clinic PLLC
NPI 1811680390 · Psychiatric/Mental Health Nurse Practitioner · Clemmons, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Headspace & Wellness Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Clemmons, NC (NPI 1811680390).
Provider details
- NPI number
- 1811680390
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Martha Eseh, Managing Director(804) 350-5824
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- 196 Arnold Palmer DrAdvance, NC 27006-7310Phone: (804) 350-5824
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Headspace & Wellness Clinic PLLC's NPI number?
- Headspace & Wellness Clinic PLLC's National Provider Identifier (NPI) is 1811680390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Headspace & Wellness Clinic PLLC?
- Headspace & Wellness Clinic PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Headspace & Wellness Clinic PLLC located?
- Headspace & Wellness Clinic PLLC's practice location on file with NPPES is 2509a Lewisville Clemmons Rd # 1012, Clemmons, NC 27012-8712.
- What is Headspace & Wellness Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Headspace & Wellness Clinic PLLC is (704) 703-3417.
- Does Headspace & Wellness Clinic PLLC accept Medicare?
- Headspace & Wellness Clinic 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 Headspace & Wellness Clinic PLLC?
- The authorized official listed on Headspace & Wellness Clinic PLLC's NPPES record is Martha Eseh, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Headspace & Wellness Clinic PLLC's NPI active?
- Yes — Headspace & Wellness Clinic PLLC's NPI (1811680390) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.