Seresea Reshea Mitchell-Smith, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP120401 Issued in TX

Practice address

2300 Clear Creek Rd Ste 205
Killeen, TX 76549-5404

Phone

(254) 781-6772

Fax

(833) 991-3992

NPI assigned

Jun 10, 2011

Last updated

Sep 26, 2024By 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 4

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Primary and Psych CareGroup PAC ID 5395146955, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25125/brand/1/csg/1/fhir/r4
• Direct secure messaging: seresea.mitchell-smith.1@25125.direct.athenahealth.com
• Direct secure messaging: seresea.mitchell.smith@mpapc-tx.direct.office.nextgen.com

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.

• Mindful Primary & Psych Care

  • Multi-Specialty Clinic/Center
  • Killeen, TX
  • NPI 1811563497
  Medicare reassignment Care Compare group NPD Authorized official
• Soundmind Therapy & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Killeen, TX
  • NPI 1790571552

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1689969297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 ALLENA LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLEAR CREEK RD STE 205",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495404",
            "telephone_number": "254-781-6772",
            "fax_number": "833-991-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-SMITH",
        "first_name": "SERESEA",
        "middle_name": "RESHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "716082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "716082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP120401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Ann Misercola, NP
• Rebecca Lee Mitcham, AGNP-C, RN
• Hunter Alexa Mitchel
• Mitchell Home Visits PLLC
• Kindra Mitchell-Dorsey
• Brianna Mitchell
• Charles Walter Mitchell, M.D.
• Danny E Mitchell
• David Henry Mitchell, PA
• Deborah Michelle Mitchell, NNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Killeen, TX
• Providers in Killeen, 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 Sep 26, 2024; 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.