New River Wellness Collective, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW RIVER WELLNESS COLLECTIVE, PLLC

Practice address

1921 N Pointe Dr Ste 235
Durham, NC 27705-2672

Phone

(919) 943-9931

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy R Cleckler, MPH, LCSWNPI 1356496186

Title

Owner

Phone

(919) 943-9931

Specialties & licenses 1

Addresses

Other names 1

• n/a Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy R. Cleckler, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1356496186
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1053098491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N POINTE DR STE 235",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052672",
            "telephone_number": "919-943-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER WELLNESS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "CLECKLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-943-9931",
        "authorized_official_credential": "MPH, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• New Orchard Wellness
• New Outlook Second Chance, Inc.
• New Outlook Second Chance, Inc.
• New Outlook..Second Chance, Inc.
• New Outlook..Second Chance, Inc.
• New Spark Therapy PLLC
• New Start Recovery Center, PLLC
• New Touch From Above Services, LLC
• New Vision Eye Care, OD PA (Triangle Eye Institute, OD PA)
• New Wave Counseling PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.