Organization Active NPI

Intuitive Mental Health Service of North Carolina

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1841931276
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTUITIVE MENTAL HEALTH SERVICE OF NORTH CAROLINA
Practice address
1788 Heritage Center Dr Ste 202
Wake Forest, NC 27587-3972
Phone
(919) 530-9866
Fax
(919) 238-1642
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Robin Peterson, NPNPI 1336622448
Title
Pmhnp-BC
Phone
(919) 427-0926

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1788 Heritage Center Dr Ste 202
Wake Forest, NC 27587-3972

Mailing address

2625 Penfold LN
Wake Forest, NC 27587-5462
Phone (919) 427-0926

Other identifiers 1

IdentifierTypeStateIssuer
1336622448MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831000275 NC Part B Supplier - Clinic/Group Practice 6901280577 Receives reassigned benefits from 1 practitioner
Practice locations: Wake Forest, NC

National Provider Directory

National Provider Directory

Locations

992 Durham Rd
Wake Forest, NC 27587
Phone (919) 495-8312

Practitioners & affiliated clinicians

Practitioners 1

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1841931276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PENFOLD LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875462",
            "telephone_number": "919-427-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DR STE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873972",
            "telephone_number": "919-530-9866",
            "fax_number": "919-238-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTUITIVE MENTAL HEALTH SERVICE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "919-427-0926",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336622448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.