Organization Active NPI

Holistic Mental Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1154198265
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC MENTAL WELLNESS PLLC
Practice address
920 W Court St Ste 200
Seguin, TX 78155-3424
Phone
(210) 965-2787
Fax
(866) 814-7124
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Jocelyn Jingwa, DNPNPI 1043816002
Title
DNP
Phone
(210) 965-2787

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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

920 W Court St Ste 200
Seguin, TX 78155-3424

Mailing address

11713 Cypress Barn
Schertz, TX 78154-2857

Other practice location 1

902 Kitty Hawk Rd st 170
Universal City, TX 78148-3825
Phone (210) 965-2787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207003112 TX Part B Supplier - Clinic/Group Practice 9335582212 Receives reassigned benefits from 1 practitioner
Practice locations: Seguin, TX

National Provider Directory

National Provider Directory

Locations

902 Kitty Hawk Rd
Ste 170
Universal City, TX 78148
Phone (210) 965-2787

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1154198265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 CYPRESS BARN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W COURT ST STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553424",
            "telephone_number": "210-965-2787",
            "fax_number": "866-814-7124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Kitty Hawk Rd st 170",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781483825",
            "country_code": "US",
            "telephone_number": "210-965-2787",
            "fax_number": "949-695-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "JINGWA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "210-965-2787",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.