Organization Active NPI

Ivy Advanced Practice Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1689436859
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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-CNPI 1871726679
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Mind Fit Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240309000145 NC Part B Supplier - Clinic/Group Practice 3375989619 Receives reassigned benefits from 3 practitioners
Practice locations: Mooresville, NC

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.

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.

Verify at the official NPI Registry.