Organization Active NPI

Mind and Motion Wellness Center PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1548053341
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND AND MOTION WELLNESS CENTER PLLC
Practice address
300 S Hayne St # 106
Monroe, NC 28112-5505
Phone
(704) 803-2891
Fax
(704) 218-2830
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Authorized official

Name
Mercedes R Whitworth, NPNPI 1932972023
Title
Ceo
Phone
(412) 983-9388

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

300 S Hayne St # 106
Monroe, NC 28112-5505

Mailing address

784 Alexander Commons Dr
Monroe, NC 28112-7650
Phone (412) 983-9388

Other practice location 1

784 Alexander Commons Dr
Monroe, NC 28112-7650
Phone (412) 983-9388

National Provider Directory

National Provider Directory

Locations

300 S Hayne St
#106
Monroe, NC 28112
Phone (704) 803-2891

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": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1548053341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 ALEXANDER COMMONS DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127650",
            "telephone_number": "412-983-9388",
            "fax_number": "704-218-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HAYNE ST # 106",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125505",
            "telephone_number": "704-803-2891",
            "fax_number": "704-218-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Alexander Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281127650",
            "country_code": "US",
            "telephone_number": "412-983-9388",
            "fax_number": "704-218-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND AND MOTION WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-983-9388",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.