Ascentia Mind and Body Wellness Center, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC

Practice address

1914 J N Pease PL Ste 180&182
Charlotte, NC 28262-4504

Phone

(704) 909-0302

Fax

(704) 772-1774

NPI assigned

Jul 14, 2023

Last updated

Apr 28, 2026By 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

Claudette A Green, NPNPI 1790351427

Title

Pmhnp/Clinical Director/Owner

Phone

(704) 909-0304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Claudette A Green, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1790351427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1205515566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL STE 180&182",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-909-0302",
            "fax_number": "704-772-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL STE 180&182",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-909-0302",
            "fax_number": "704-772-1774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Academy St Ste 102-136",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297151838",
            "country_code": "US",
            "telephone_number": "704-909-0304",
            "fax_number": "704-772-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP/CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "704-909-0304",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascend Family Care Services
• Ascend Health Group LLC
• Ascend Mental Health NC LLC
• Ascend Recovery Center NC, LLC (Ascend Recovery Center of the Carolinas)
• Ascension Rehab and Fitness LLC
• Asd-Cap Services II
• Habenyom Asefa
• Heyab Asegahegne, BCBA
• Asencio Therapeutic Services, PLLC
• Suendus Asfar

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.