Individual provider Active NPI

Centrea Jenelle Holton, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1013758473
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1003602 Issued in TX
Practice address
7880 Bent Branch Dr
Irving, TX 75063-6002
Phone
(469) 358-2737
NPI assigned
Jun 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1003602 TX Primary

Addresses

Primary practice location

7880 Bent Branch Dr
Irving, TX 75063-6002

Mailing address

2624 Kellogg Ave
Dallas, TX 75216-2650
Phone (469) 358-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118000817 TX Practitioner - Nurse Practitioner 5496289134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Behavioral Solutions LLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Adult Child & Adolescent Psychiatric Services PA CurrentSince Oct 25, 2024 Accepting new patients
Ace T. Counseling and Wellness Center, PLLC PastSince Jan 28, 2024 Accepting new patients

Locations

8035 E R L Thornton Fwy
Ste 512
Dallas, TX 75228
Phone (888) 550-4842

8035 E R L Thornton Fwy
Ste 334
Dallas, TX 75228
Phone (888) 550-4842

8811 Teel Pkwy
Ste 100
Frisco, TX 75036
Phone (469) 554-8989

2140 N Lake Forest Dr
#104
McKinney, TX 75071
Phone (469) 747-1010

1740 W Virginia St
Ste 100
McKinney, TX 75069
Phone (972) 709-7556

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1013758473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 KELLOGG AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752162650",
            "telephone_number": "469-358-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 BENT BRANCH DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750636002",
            "telephone_number": "469-358-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "CENTREA",
        "middle_name": "JENELLE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1003602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.