Organization Active NPI

Soul Spring Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1902616907
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOUL SPRING PSYCHIATRY PLLC
Practice address
416 N Stanton St Ste 600D
El Paso, TX 79901-1245
Phone
(915) 317-1054
Fax
(982) 268-0069
NPI assigned
Jan 10, 2025
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Princess Ahedor, PMHNPNPI 1215401906
Title
NP
Phone
(704) 340-4431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

416 N Stanton St Ste 600D
El Paso, TX 79901-1245

Mailing address

2712 Tierra Murcia St
El Paso, TX 79938-2220
Phone (915) 317-1054

Other practice location 1

920 N Telshor Blvd Ste E
Las Cruces, NM 88011-8279
Phone (915) 955-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250727000124 TX Part B Supplier - Clinic/Group Practice 9537676390 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX
O20260219000105 NM Part B Supplier - Clinic/Group Practice 9537676390 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

2100 George Dieter Dr
El Paso, TX 79936
Phone (704) 340-4431

2100 George Dieter Dr
#960213
El Paso, TX 79936

416 N Stanton St
El Paso, TX 79901
Phone (915) 771-5779

416 N Stanton St
Ste 600D
El Paso, TX 79901

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1902616907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 TIERRA MURCIA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382220",
            "telephone_number": "915-317-1054",
            "fax_number": "982-268-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N STANTON ST STE 600D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011245",
            "telephone_number": "915-317-1054",
            "fax_number": "982-268-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 N Telshor Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118279",
            "country_code": "US",
            "telephone_number": "915-955-2238",
            "fax_number": "982-268-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL SPRING PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "AHEDOR",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "704-340-4431",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.