Organization Active NPI

Peaceful Aura Behavioral Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1972291664
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACEFUL AURA BEHAVIORAL HEALTH SERVICES PLLC
Practice address
4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494
Phone
(704) 388-6736
Fax
(949) 695-3608
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. De'Edda Renae Powell, PMHNP-BCNPI 1194443788
Title
Ceo/DNP, Pmhnp-BC
Phone
(704) 819-9079

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494

Mailing address

4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494
Phone (704) 388-6736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421002464 NC Part B Supplier - Clinic/Group Practice 9739604950 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2342275Peaceful Aura Behavioral Health Services, PLLC4801 E Independence Blvd, Suite 501, Charlotte, NC 28212Certificate of waiverApr 15, 2028

National Provider Directory

National Provider Directory

Locations

4801 E Independence Blvd
Ste 501
Charlotte, NC 28212
Phone (704) 388-6736

4111 Rose Lake Dr
Ste 4697
Charlotte, NC 28217

Practitioners & affiliated clinicians

Practitioners 3

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": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1972291664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125494",
            "telephone_number": "704-388-6736",
            "fax_number": "949-695-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125494",
            "telephone_number": "704-388-6736",
            "fax_number": "949-695-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL AURA BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DE'EDDA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "CEO/DNP, PMHNP-BC",
        "authorized_official_telephone_number": "704-819-9079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/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 Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.