Jessica Psujek Wakefield, LCMHC, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2610 Stantonsburg Rd
Greenville, NC 27834-2800

Phone

(252) 816-9477

Fax

(252) 847-0819

NPI assigned

May 28, 2010

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  NPD

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1629397740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 CHERRY STONE LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589415",
            "telephone_number": "919-475-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342800",
            "telephone_number": "252-816-9477",
            "fax_number": "252-847-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "JESSICA",
        "middle_name": "PSUJEK",
        "credential": "LCMHC, NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7297",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Austin Wagner, RN
• Zeeshan Wahab, DMD
• John Edward Wahlen, M.D.
• Heather Wainwright
• Wake Spine and Pain Specialists, PC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1379)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7337)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7222)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5851)
• Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-5851)

• Health & Wellness Coach in Greenville, NC
• Providers in Greenville, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.