Individual provider Active NPI

Kamesha Roshun Mitchell, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1659742211
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP129277 Issued in TX
Practice address
101 Jefferson Dr Ste 228
Menlo Park, CA 94025-1114
Phone
(888) 995-2230
NPI assigned
Oct 8, 2015
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022003816 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129277 TX Primary

Addresses

Primary practice location

101 Jefferson Dr Ste 228
Menlo Park, CA 94025-1114

Mailing address

PO Box 182492
Arlington, TX 76096-2492
Phone (817) 569-3800

Other practice location 1

3100 Hulen St
Fort Worth, TX 76107
Phone (817) 569-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WA, MO, MN, CA, OH, OR8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20160331000332 TX Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 4 organizations
I20200310001612 AZ Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization
I20220725000284 WA Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization
I20251201002727 MO Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 2 organizations
I20251203000154 MN Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization
I20251204001909 CA Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization
I20251204002238 OH Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization
I20260106003543 OR Practitioner - Nurse Practitioner 0648577981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med Management AssociatesGroup PAC ID 7810299187, 35 clinicians

Practice addresses (Care Compare)

4006 Vista Rd
Pasadena, TX 77504-2112
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9227MNMDSpeech-Language Pathologist
2022003816MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne M. Guynes, M.D.P.a. CurrentSince Sep 28, 2017 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients
The Gulf Coast Center CurrentSince Jan 2, 2020 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Med Management Associates CurrentSince Sep 1, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince Apr 21, 2026 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

101 Brennen Ln
Alvin, TX 77511
Phone (409) 502-6548

101 Tigner St
Angleton, TX 77515
Phone (800) 710-4322

123 Rosenberg St
Ste 4
Galveston, TX 77550

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4444 W Main St
League City, TX 77573
Phone (281) 640-0218

2170 N Lake Forest Dr
McKinney, TX 75071
Phone (817) 268-8103

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1659742211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182492",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760962492",
            "telephone_number": "817-569-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JEFFERSON DR STE 228",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251114",
            "telephone_number": "888-995-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76107",
            "country_code": "US",
            "telephone_number": "817-569-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KAMESHA",
        "middle_name": "ROSHUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022003816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.