Mbo Texas, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MBO TEXAS, PLLC

Doing business as

Mind Body Optimization

Practice address

271 W Southlake Blvd
Southlake, TX 76092-7049

Phone

(469) 991-7647

Fax

(682) 477-3694

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Byron McLaughlin

Title

VP Rev Cycle Management

Phone

(682) 350-5880

Specialties & licenses 2

Addresses

Other names 2

• Mind Body Optimization Doing business as
• Mind Body Optimization - Southlake IOP Other name

Locations

Practitioners 3

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.

• Marisa Nichole Rust, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1164226981
  NPD
• Lilian Trifena, NP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1306647045
  NPD
• Tyson John Owen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
  • NPI 1982436705
  NPD (past)

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1730959818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927049",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 E Sonterra Blvd Ste 614",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584093",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7030 New Sanger Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767124074",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25555 W Interstate 10 Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782571380",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7261 Hawkins View Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323921",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3104 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761774305",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5038 Tennyson Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242965",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MBO TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "VP REV CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "682-350-5880"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Optimization",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Body Optimization - Southlake IOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Maxey
• Megan Leigh Maxwell
• Janice May, RDN, LD, CDE
• Aubrey Joy Mayes
• Kelsey Mbadugha
• Mboc Texas, PLLC (Mind Body Optimization)
• Courtney McCartney, SLP
• Jennifer Wells McCauley, P.T.
• Taylor McCorkle
• Katherine McCoy, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southlake, TX
• Providers in Southlake, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.