Headspace & Wellness Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEADSPACE & WELLNESS CLINIC PLLC

Practice address

2509A Lewisville Clemmons Rd # 1012
Clemmons, NC 27012-8712

Phone

(704) 703-3417

NPI assigned

May 31, 2023

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha L Eseh, PMHNPNPI 1194427872

Title

Managing Director

Phone

(804) 350-5824

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Martha Lumngwegang Eseh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clemmons, NC
  • NPI 1194427872

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1811680390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 ARNOLD PALMER DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067310",
            "telephone_number": "804-350-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509A LEWISVILLE CLEMMONS RD # 1012",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128712",
            "telephone_number": "704-703-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Arnold Palmer Dr",
            "address_purpose": "LOCATION",
            "city": "Advance",
            "state": "NC",
            "postal_code": "270067310",
            "country_code": "US",
            "telephone_number": "804-350-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADSPACE & WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "ESEH",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "804-350-5824",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clifton Harper Jr., P.A.
• Linda Robertson Harris, MA LPC NCC NCSC
• Kirsten Collette Hatley
• Jessica Byerly Hatton, LCMHC
• Renee Childress Haynes, FNP-C
• Health Matters, PLLC Behavioral Health Counseling and Consultation
• Heartland Pediatric Therapy Services, LLC
• Arin Lee Heath, LCSW, MSW
• Eric Warren Hein, M.D.
• Melissa Ann Helman, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.