NPIMap

Organization Active NPI

Jenifer Phelps, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, NC
National Provider Identifier
1174915185
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
900221 Issued in NC
Legal business name
JENIFER PHELPS, PLLC
Practice address
2202 Wrightsville Ave
Suite 211
Wilmington, NC 28403-3051
Phone
(910) 833-8370
Fax
(910) 833-8371
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Ms. Jenifer Phelps, PMHNP-BCNPI 1205856408
Title
Nurse Practitioner / Owner
Phone
(910) 790-9103

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 900221 NC Primary

Addresses

Primary practice location

2202 Wrightsville Ave
Suite 211
Wilmington, NC 28403-3051

Mailing address

6004 Nettle Cir
Wilmington, NC 28405-3782
Phone (910) 790-9103

National Provider Directory

National Provider Directory

Locations

2202 Wrightsville Ave
Ste 211
Wilmington, NC 28403
Phone (910) 685-6223

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1174915185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 NETTLE CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053782",
            "telephone_number": "910-790-9103",
            "fax_number": "910-833-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WRIGHTSVILLE AVE",
            "address_2": "SUITE 211",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033051",
            "telephone_number": "910-833-8370",
            "fax_number": "910-833-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER PHELPS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "910-790-9103",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "900221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.