Organization Active NPI

Nightbloom Wellness PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1770483430
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NIGHTBLOOM WELLNESS PLLC
Practice address
3044 Iredell Dr
Charlotte, NC 28269-2714
Phone
(303) 902-1472
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Jessica Danielle Timlin, LCMHCA NCC
Title
Counselor
Phone
(303) 902-1472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3044 Iredell Dr
Charlotte, NC 28269-2714

Mailing address

3044 Iredell Dr
Charlotte, NC 28269-2714
Phone (303) 902-1472

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1770483430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 IREDELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692714",
            "telephone_number": "303-902-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 IREDELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692714",
            "telephone_number": "303-902-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTBLOOM WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "TIMLIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "303-902-1472",
        "authorized_official_credential": "LCMHCA NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.