Individual provider Active NPI

Sheila Gwin-Johnson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1679270987
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1142268 Issued in TX
Practice address
1425 Greenway Dr Ste 360
Irving, TX 75038-2447
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Feb 8, 2023
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1142268 TX Primary

Addresses

Primary practice location

1425 Greenway Dr Ste 360
Irving, TX 75038-2447

Mailing address

1425 Greenway Dr Ste 360
Irving, TX 75038-2447
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240412002409 TX Practitioner - Nurse Practitioner 0446699268 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
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

1300 S University Dr
Suite 306
Fort Worth, TX 76107-5746
Phone (844) 824-8775

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

1300 S University Dr
Ste 306
Ft Worth, TX 76107
Phone (817) 410-7300

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (346) 584-4858

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.sheilagwinjohnson@136732.advancedmd-direct.com

Organizations & group practices 1

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1679270987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GREENWAY DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382447",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENWAY DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382447",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN-JOHNSON",
        "first_name": "SHEILA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1142268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.