Organization Active NPI

Jeremiah 29:11 Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1083553275
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JEREMIAH 29:11 MENTAL HEALTH LLC
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(325) 237-3581
NPI assigned
Mar 25, 2026
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Dr. Gifty Ama Acheampong, PH.D., PMHNP-BCNPI 1356989339
Title
Owner
Phone
(325) 237-3581

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

PO Box 4348
Wichita Falls, TX 76308-0348
Phone (325) 237-3581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260504005628 TX Part B Supplier - Clinic/Group Practice 7012485535 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1083553275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4348",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080348",
            "telephone_number": "325-237-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "325-237-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH 29:11 MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ACHEAMPONG",
        "authorized_official_first_name": "GIFTY",
        "authorized_official_middle_name": "AMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-237-3581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.