Wilmington Mental Health - Medicare Mental Health Clinic in Wilmington, NC

Wilmington Mental Health is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Wilmington, North Carolina. The current practice location for Wilmington Mental Health is 3825 Market St Ste 4, Wilmington, North Carolina. For appointments, you can reach them via phone at (910) 777-5575. The mailing address for Wilmington Mental Health is 3825 Market St Ste 4, Wilmington, North Carolina and phone number is (910) 777-5575.

Wilmington Mental Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396206330. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 777-5575.

Contact Information

Wilmington Mental Health
3825 Market St Ste 4
Wilmington
NC 28403-1426
(910) 777-5575
(910) 777-5273

Map and Direction


Mental Health Clinic Profile

Full NameWilmington Mental Health
SpecialityClinic/Center
Location3825 Market St Ste 4, Wilmington, North Carolina
Authorized Official Name and PositionJoseph Rengifo (PSYCHOTHERAPIST)
Authorized Official Contact9107775575
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wilmington Mental Health
3825 Market St Ste 4
Wilmington
NC 28403-1426

Ph: (910) 777-5575
Wilmington Mental Health
3825 Market St Ste 4
Wilmington
NC 28403-1426

Ph: (910) 777-5575

NPI Details:

NPI Number1396206330
Provider Enumeration Date03/30/2019
Last Update Date01/26/2023
Certification Date01/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8325439201
Medicare Enrollment IDO20220104000995

Medical Identifiers

Medical identifiers for Wilmington Mental Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396206330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wilmington Mental Health acts as a billing entity for following providers:
Provider NameJane Schwarting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215304852
PECOS PAC ID: 5294035325
Enrollment ID: I20151123000258
Provider NameBrooke C. Maple
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780932319
PECOS PAC ID: 4789833674
Enrollment ID: I20180326000932
Provider NamePerry Stanley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740374438
PECOS PAC ID: 0840391819
Enrollment ID: I20221208001593
Provider NameJacqueline Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215171608
PECOS PAC ID: 5991856296
Enrollment ID: I20231115001109
Provider NameJoseph Rengifo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1952842007
PECOS PAC ID: 4880093194
Enrollment ID: I20240109003947
Provider NameHavah Henzler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053608398
PECOS PAC ID: 9638512445
Enrollment ID: I20240208003013
Provider NameRenee Ann Beauregard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073376950
PECOS PAC ID: 1951748060
Enrollment ID: I20240326000120
Provider NameRichard Gage Howard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689324899
PECOS PAC ID: 4880136753
Enrollment ID: I20240606002080

Reviews and Comments

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Phone: 910-902-9293    Fax: 910-778-1156
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Practice Location: 3205 Randall Pkwy Ste 128, Wilmington, NC 28403
Phone: 910-338-9093    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.