Peak Wellness Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PEAK WELLNESS CLINIC PLLC

Practice address

1 Buffalo Ave NW Ste 201
Concord, NC 28025-4004

Phone

(980) 859-2230

Fax

(980) 206-4155

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Sabina Benel, DNP,PMHNP-BC,FNP-BCNPI 1467798520

Title

Owner/Provider

Phone

(980) 859-2230

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabina Benel, DNP, PMHNP, FNP-BC

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1467798520

  Addiction Medicine

  Medicare reassignment NPD Authorized official
• Ronald Clarke Jr., LSATP

  • Addiction (Substance Use Disorder) Counselor
  • Danville, VA
  • NPI 1174284889

  Single Specialty

  NPD (past)
• Cassandra Lynn Johnson, LCSW

  • Clinical Social Worker
  • Danville, VA
  • NPI 1487983557

  Psychiatric/Mental Health

  NPD (past)
• Amyia Totten

  • Professional Counselor
  • Danville, VA
  • NPI 1740162627
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1942719950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUFFALO AVE NW STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254004",
            "telephone_number": "980-859-2230",
            "fax_number": "980-206-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUFFALO AVE NW STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254004",
            "telephone_number": "980-859-2230",
            "fax_number": "980-206-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5252B N Sharon Amity Road",
            "address_purpose": "LOCATION",
            "city": "charlotte",
            "state": "NC",
            "postal_code": "282152821",
            "country_code": "US",
            "telephone_number": "301-257-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "BENEL",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "980-859-2230",
        "authorized_official_credential": "DNP,PMHNP-BC,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467798520",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabina.benel@peakwellclinic.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Buffalo Ave NW Ste 201",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280254004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• PC Solutions Holding, Inc. (Homewatch CareGivers of Concord/Kannapolis)
• PD Sharma DMD PA (Oral Facial & Implant Surgery Center)
• Peace of Mind Health PLLC
• Peaceful Places Counseling & Wellness, PLLC
• Kelley Perkins Peacock
• Fay Matlock Pearson, RN
• Michele Lee Pearson, PT
• Tindall Pearson, LCSWA, MSW
• Pediatric Therapeutic Coaching
• Fernanda Noleto Pedrosa, DO

• Psychiatric/Mental Health Nurse Practitioner in Concord, NC
• Providers in Concord, 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 Mar 8, 2021; 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.