Modern Wellness PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MODERN WELLNESS PLLC

Practice address

109 E Wyche St
Whiteville, NC 28472-3429

Phone

(910) 642-8700

Fax

(910) 642-0587

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By 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

Ms. Kristi Starr Baldwin Rooks, MA, LPC

Title

Owner, Therapist

Phone

(910) 642-8700

Specialties & licenses 1

Addresses

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.

• Deborah Lee Pickard, LCSW

  • Clinical Social Worker
  • Kinston, NC
  • NPI 1467772384

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1235371709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E WYCHE ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723429",
            "telephone_number": "910-642-8700",
            "fax_number": "910-642-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E WYCHE ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723429",
            "telephone_number": "910-642-8700",
            "fax_number": "910-642-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "BALDWIN ROOKS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "910-642-8700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Home Care LLC
• Ararat Berhane Mesfin
• Micah Gregory Merritt (Renew Health and Physical Therapy)
• Gloria H Miller, CRNA
• Richard A Mitchell, CO, BOCPO
• Melanie Alanna Moe, R.N., BSN, MSN - FNP
• Monarch
• Monarch
• Monarch
• Shameika Monroe-Bostic, LPC

• Community/Behavioral Health Agency in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.