Organization Active NPI

Rutherford Mental Wellness, PLLC

  • Psychiatry Physician
  • Rutherfordton, NC
National Provider Identifier
1124893342
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RUTHERFORD MENTAL WELLNESS, PLLC
Practice address
214 Charlotte Rd
Rutherfordton, NC 28139-2914
Phone
(828) 447-2253
Fax
(828) 372-4642
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Shannon Jones, PMHNP-BCNPI 1184304651
Title
Owner/Practitioner
Phone
(828) 447-2253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

214 Charlotte Rd
Rutherfordton, NC 28139-2914

Mailing address

214 Charlotte Rd
Rutherfordton, NC 28139-2914
Phone (828) 447-2253

National Provider Directory

National Provider Directory

Locations

214 Charlotte Rd
Rutherfordton, NC 28139
Phone (828) 436-0228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1124893342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392914",
            "telephone_number": "828-447-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392914",
            "telephone_number": "828-447-2253",
            "fax_number": "828-372-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD MENTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "828-447-2253",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.