Active NPI
Ivy Advanced Practice Health, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- IVY ADVANCED PRACTICE HEALTH, PLLC
- Practice address
- 378 Williamson Rd Ste 204
Mooresville, NC 28117-5917 - Phone
- (704) 978-8334
- Fax
- (980) 399-2600
- NPI assigned
- Jan 24, 2024
- Organization subpart
- Yes
- Parent organization
- IVY ADVANCED PRACTICE HEALTH, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivy Geralyn De Leon, PMHNP-BC, FNP-C
- Title
- Owner
- Phone
- (704) 978-8334
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
378 Williamson Rd Ste 204
Mooresville, NC 28117-5917
Mailing address
103 Billinsgate CT
Mooresville, NC 28117-6702
Phone (704) 978-8334
Other practice location 1
103 Billinsgate Ct
Mooresville, NC 28117-6702
Phone (704) 978-8334
Other practice location 2
404 W Fleming Dr
Morganton, NC 28655-3965
Phone (704) 978-8334
Other names 2
- Ivy Advanced Practice Health PLLC
- Mind Fit Behavioral Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Ivy Advanced Practice Health PLLC
Locations
378 Williamson Rd
Ste 204
Mooresville, NC 28117
Phone (704) 662-0009
404 W Fleming Dr
Morganton, NC 28655
Phone (704) 978-8334
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mooresville, NC
- NPI 1871726679
-
- Psychiatric/Mental Health Nurse Practitioner
- Mooresville, NC
- NPI 1730052168
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- West Jefferson, NC
- NPI 1518711910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1689436859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BILLINSGATE CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176702",
"telephone_number": "704-978-8334",
"fax_number": "980-399-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 WILLIAMSON RD STE 204",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175917",
"telephone_number": "704-978-8334",
"fax_number": "980-399-2600"
}
],
"practiceLocations": [
{
"address_1": "103 Billinsgate Ct",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281176702",
"country_code": "US",
"telephone_number": "704-978-8334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 W Fleming Dr",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286553965",
"country_code": "US",
"telephone_number": "704-978-8334",
"fax_number": "980-399-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IVY ADVANCED PRACTICE HEALTH, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IVY ADVANCED PRACTICE HEALTH, PLLC",
"enumeration_date": "2024-01-24",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "IVY",
"authorized_official_middle_name": "GERALYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-978-8334",
"authorized_official_credential": "PMHNP-BC, FNP-C"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivy Advanced Practice Health PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mind Fit Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.