Organization
WILMINGTON MENTAL HEALTH, PLLC
Active
Organization
WILMINGTON MENTAL HEALTH, PLLC
Active
Other names
Wilmington Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RENGIFO MA, LCMHC, LCAS, CSI (PSYCHOTHERAPIST)
(910) 777-5575
Entity
Organization
Contact information
Practice address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Mailing address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/30/2019
Last updated
01/26/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up