Nicole Rhea Bennett, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1142332 Issued in TX

Practice address

703 W Patten St
Mineola, TX 75773-1541

Phone

(903) 569-5409

Fax

(903) 535-7384

NPI assigned

Jan 8, 2024

Last updated

Apr 9, 2025By the provider in NPPES

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andrews CenterGroup PAC ID 9739170770, 23 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrews Center

  dba Andrews Center Chemical Treatment Facility

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742
  Medicare reassignment Care Compare group NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD
• Andrwes Center/ Athens Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Athens, TX
  • NPI 1780608323
  NPD
• 4L-a Clinic and Consultants Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Duncanville, TX
  • NPI 1659018604
  NPD (past)
• Andrews Center - Elliott St

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Canton, TX
  • NPI 1467900738
  NPD (past)
• Andrews Center - Mr

  • Case Manager/Care Coordinator
  • Tyler, TX
  • NPI 1093876252
  NPD (past)

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1407626658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027747",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W PATTEN ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731541",
            "telephone_number": "903-569-5409",
            "fax_number": "903-535-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 E Lennon Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "TX",
            "postal_code": "754403255",
            "country_code": "US",
            "telephone_number": "903-473-2671",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519119",
            "country_code": "US",
            "telephone_number": "903-675-8541",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 W State Highway 243",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751032113",
            "country_code": "US",
            "telephone_number": "903-567-4197",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027747",
            "country_code": "US",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLE",
        "middle_name": "RHEA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1142332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Miller Allen, DDS
• Autumn Wind
• Jodi Leeann Bane, LPC
• Diana Bankhead, MD
• Amber Barnes
• Bluebonnet Hospice of East Texas Inc
• Lauren Grace Bohannan, BSN, RN, IBCLC
• Brookshire Grocery Company (Brookshires Pharmacy)
• Dawn Marie Butterfield
• Erica L Campbell, PHARM.D.

• Psychiatric/Mental Health Nurse Practitioner in Mineola, TX
• Providers in Mineola, 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 Apr 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.