Mira Pistillo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1170902 Issued in TX

Practice address

4810 W Panther Creek Dr Ste 203
Spring, TX 77381-5005

Phone

(346) 298-1343

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Wholistic Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • The Woodlands, TX
  • NPI 1912898289
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1336970086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W PANTHER CREEK DR STE 203",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773815005",
            "telephone_number": "346-298-1343",
            "fax_number": "281-603-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W PANTHER CREEK DR STE 203",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773815005",
            "telephone_number": "346-298-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTILLO",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1170902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey-Ann Pinnock-Green
• Ashley-Alexis I Pinnock
• Pinpoint Massage & Bodywork
• Constance Pipkins-Mitchell
• Carlos Pirela, NP
• Flavia A Pitman
• Carl Eugene Pittman, DDS
• Carol S Pitts, BSRN
• Mae Beth Pitts, LPC
• Natalie Anne Pitzel

• Psychiatric/Mental Health Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.