Organization Active NPI

Mesa Springs, LLC

Doing business as Mesa Springs

  • Psychiatric Hospital
  • Fort Worth, TX
National Provider Identifier
1366880627
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
MESA SPRINGS, LLC
Doing business as
Mesa Springs
Practice address
5560 Mesa Springs Drive
Fort Worth, TX 76123
Phone
(817) 292-4600
Fax
(817) 292-4604
NPI assigned
Jun 10, 2013
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

5560 Mesa Springs Drive
Fort Worth, TX 76123

Mailing address

4801 Olympia Park PLZ Ste 1000
Louisville, KY 40241-2090
Phone (502) 916-8830

Other practice location 1

4935 S Collins ST
Ste 101
Arlington, TX 76018
Phone (682) 320-2800

Other practice location 2

3202 Main Dr
Fort Worth, TX 76129-0001
Phone (817) 292-4600 ext. 81729

Other practice location 3

12412 Timberland Blvd Ste 300
Fort Worth, TX 76244-5228
Phone (682) 593-6001

Other practice location 4

6421 Camp Bowie Blvd
Fort Worth, TX 76116-5401
Phone (817) 841-8002

Other identifiers 1

IdentifierTypeStateIssuer
339487601MedicaidTX

Other names 1

  • Mesa Springs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131227001227 TX Part A Provider - Hospital 9234366931 Practice locations: Arlington, TX; Fort Worth, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366880627. Details of each certification follow.

Hospital certification: CCN 454124

Legal name
MESA SPRINGS LLC
Doing business as
MESA SPRINGS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 28, 2014
Last certification
Oct 2, 2025
Beds
72
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 3, 2012 in DE
Enrollment address
5560 Mesa Springs Dr
Fort Worth, TX 76123-2120
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Mesa SpringsCCN 454124 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2069725Mesa Springs Hospital5560 Mesa Springs Drive, Fort Worth, TX 76123Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

101 S 5th St
Ste 3850
Louisville, KY 40202

4935 S Collins St
Ste 101
Arlington, TX 76018
Phone (682) 320-2800

3202 N Main St
Fort Worth, TX 76106
Phone (817) 292-4600

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin F. Mann Individual Corporate OfficerSVP, Strategic Development Feb 7, 2023
Lifepoint Behavioral Health, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Nicoletta B Tessler Individual Corporate OfficerPresident Aug 4, 2025
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Christopher J Jagoditz Individual Corporate OfficerChief Financial Officer Oct 20, 2025
Springstone Health Opco, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 21, 2013 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Andrew Carlton Individual W-2 Managing EmployeeFacility Ceo Mar 31, 2023
Marcus B Poppell Individual OtherSVP, Reimbursement Feb 7, 2023
Charlotte E Lawrence Individual Corporate OfficerSecretary Feb 7, 2023
Elliott Brown Individual Corporate OfficerSVP & Treasurer Apr 2, 2026
LPNT Autumn Holdco, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Christopher J Monte Individual Corporate OfficerVice President Feb 7, 2023
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%

Facilities with the same owner 70

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 70

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1366880627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 OLYMPIA PARK PLZ STE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412090",
            "telephone_number": "502-916-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MESA SPRINGS DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "817-292-4600",
            "fax_number": "817-292-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4935 S Collins ST",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76018",
            "country_code": "US",
            "telephone_number": "682-320-2800",
            "fax_number": "682-320-2801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3202 Main Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761290001",
            "country_code": "US",
            "telephone_number": "817-292-4600 x81729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12412 Timberland Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445228",
            "country_code": "US",
            "telephone_number": "682-593-6001",
            "fax_number": "682-593-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6421 Camp Bowie Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761165401",
            "country_code": "US",
            "telephone_number": "817-841-8002",
            "fax_number": "817-377-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MESA SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339487601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesa Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.