Organization Active NPI

A Penny for Your Thoughts, PLLC

Doing business as Mind & Body Renew Medical Spa and Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1285570994
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A PENNY FOR YOUR THOUGHTS, PLLC
Doing business as
Mind & Body Renew Medical Spa and Psychiatry
Practice address
3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087
Phone
(910) 713-8209
Fax
(833) 542-8310
NPI assigned
Apr 25, 2026
Last updated
Apr 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MIND & BODY RENEW MEDICAL SPA AND PSYCHIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Authorized official

Name
Charisse Fullwood, PMHNP-BCNPI 1154085629
Title
Ceo
Phone
(910) 713-8209

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Clinic/Center 261Q00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087

Mailing address

3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087
Phone (910) 713-8209

Other names 1

  • Mind & Body Renew Medical Spa and Psychiatry Doing business as

National Provider Directory

National Provider Directory
Part of
A Penny for Your Thoughts PLLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1285570994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "910-713-8209",
            "fax_number": "833-542-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "910-713-8209",
            "fax_number": "833-542-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PENNY FOR YOUR THOUGHTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND & BODY RENEW MEDICAL SPA AND PSYCHIATRY",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "FULLWOOD",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-713-8209",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind & Body Renew Medical Spa and Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.