Organization Active NPI

Devoted Mental Wellness, PLLC

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1184396012
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEVOTED MENTAL WELLNESS, PLLC
Practice address
708 Cromwell Dr Ste C
Greenville, NC 27858-5440
Phone
(252) 367-1888
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Catherine Respess Peterson, MSW, LCSWNPI 1447537790
Title
Owner
Phone
(262) 367-1888

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

708 Cromwell Dr Ste C
Greenville, NC 27858-5440

Mailing address

609 Brookfield Dr
Winterville, NC 28590-1400
Phone (252) 367-1888

National Provider Directory

National Provider Directory

Locations

708 Cromwell Dr
Ste C
Greenville, NC 27858
Phone (252) 367-1888

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1184396012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BROOKFIELD DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285901400",
            "telephone_number": "252-367-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CROMWELL DR STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585440",
            "telephone_number": "252-367-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED MENTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "RESPESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-367-1888",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.