NPIMap

Organization Active NPI

Vigeo Ketamine and Wellness Center, LLC

Doing business as Vigeo Wellness

  • Psychiatry Physician
  • Weatherford, TX
National Provider Identifier
1912612557
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIGEO KETAMINE AND WELLNESS CENTER, LLC
Doing business as
Vigeo Wellness
Practice address
1800 Lone Oak Rd Ste 10
Weatherford, TX 76086-4912
Phone
(817) 783-0463
Fax
(682) 262-1235
NPI assigned
Jan 18, 2023
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Megan Holland, CRNANPI 1639416654
Title
Owner/Director
Phone
(817) 886-4976

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
Clinic/Center 261Q00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1800 Lone Oak Rd Ste 10
Weatherford, TX 76086-4912

Mailing address

148 Bearclaw Cir
Aledo, TX 76008-1230
Phone (817) 886-4976

Other practice location 1

906 W Cannon St Apt 100
Fort Worth, TX 76104-3052
Phone (817) 783-0463

Other names 1

  • Vigeo Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260330002489 TX Part B Supplier - Clinic/Group Practice 0941785711 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX; Weatherford, TX

National Provider Directory

National Provider Directory

Locations

906 W Cannon St
Apt 100
Fort Worth, TX 76104
Phone (817) 634-5521

1800 Lone Oak Rd
Ste 10
Weatherford, TX 76086
Phone (817) 672-9407

Practitioners & affiliated clinicians

Practitioners 6

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1912612557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BEARCLAW CIR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081230",
            "telephone_number": "817-886-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LONE OAK RD STE 10",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864912",
            "telephone_number": "817-783-0463",
            "fax_number": "682-262-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 W Cannon St Apt 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043052",
            "country_code": "US",
            "telephone_number": "817-783-0463",
            "fax_number": "817-345-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIGEO KETAMINE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "817-886-4976",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vigeo Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vigeo Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.