Organization Active NPI

Alchemy Healthy Minds and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1740943653
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALCHEMY HEALTHY MINDS AND WELLNESS PLLC
Practice address
445 Western Blvd Ste G
Jacksonville, NC 28546-6852
Phone
(910) 333-1323
Fax
(910) 333-1344
NPI assigned
Oct 18, 2021
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Ashleigh Brown, PMHNP-BCNPI 1972931061
Title
Pmhnp-BC/Provider
Phone
(910) 333-1323

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

445 Western Blvd Ste G
Jacksonville, NC 28546-6852

Mailing address

445 Western Blvd Ste G
Jacksonville, NC 28546-6852
Phone (910) 333-1323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220103000034 NC Part B Supplier - Clinic/Group Practice 6709277627 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, NC

National Provider Directory

National Provider Directory

Locations

445 Western Blvd
Ste G
Jacksonville, NC 28546
Phone (910) 333-1323

445 Western Blvd
Ste O
Jacksonville, NC 28546
Phone (910) 238-2330

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1740943653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WESTERN BLVD STE G",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466852",
            "telephone_number": "910-333-1323",
            "fax_number": "910-333-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WESTERN BLVD STE G",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466852",
            "telephone_number": "910-333-1323",
            "fax_number": "910-333-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY HEALTHY MINDS AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_title_or_position": "PMHNP-BC/PROVIDER",
        "authorized_official_telephone_number": "910-333-1323",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.