Individual provider Active NPI

Henrick Ledain, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leland, NC
National Provider Identifier
1568601623
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5019872 Issued in NC
Practice address
1108 New Pointe Blvd Ste 130 Pmb1080
Leland, NC 28451-1279
Phone
(347) 452-7642
NPI assigned
Feb 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287660 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019872 NC Primary

Addresses

Primary practice location

1108 New Pointe Blvd Ste 130 Pmb1080
Leland, NC 28451-1279

Mailing address

1108 New Pointe Blvd Ste 130 Pmb1080
Leland, NC 28451-1279
Phone (347) 452-7642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414003037 NC Practitioner - Nurse Practitioner 1557885332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
287660NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Brain PLLC Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Beach Brain PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1108 New Pointe Blvd
Ste 130
Leland, NC 28451
Phone (570) 817-6817

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1568601623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 NEW POINTE BLVD STE 130 PMB1080",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511279",
            "telephone_number": "347-452-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NEW POINTE BLVD STE 130 PMB1080",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511279",
            "telephone_number": "347-452-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDAIN",
        "first_name": "HENRICK",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287660",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.