Be Well Mental Health Center PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Jacksonville, TX
NPI 1104584242 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1104584242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BE WELL MENTAL HEALTH CENTER PLLC
- Practice address
- 1438 E Rusk St
Jacksonville, TX 75766-3450 - Phone
- (903) 721-3250
- Fax
- (903) 213-9029
- NPI assigned
- Dec 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Kristy Verhage, PMHNP
- Title
- Owner-NP
- Phone
- (903) 364-6357
Practitioners 1
-
Kristy Verhage, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230518000542 | TX | Part B Supplier - Clinic/Group Practice | 5890151732 |
Receives reassigned benefits from 1 practitioner Practice locations: Jacksonville, TX |
National Provider Directory
Locations
1438 E Rusk St
Jacksonville, TX 75766
Phone (903) 364-6357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1438 E Rusk St
Jacksonville, TX 75766-3450
Mailing address
1438 E Rusk St
Jacksonville, TX 75766-3450
Phone (903) 721-3250
Other providers in Jacksonville, TX
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- Ault McInnis PLLC
- Kristin L Ault
- Sharron Elaine Ballard
- Michael Dwaine Banks
- Bealls Corporation
- Michael Glenn Beard
- Royal M Becker
- Beeline Health, PLLC
- Michele Lee Bentoski
All providers in Jacksonville, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.