Organization Active NPI

Champion TMS LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
National Provider Identifier
1942192232
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHAMPION TMS LLC
Doing business as
Compassion NeuroHealth
Practice address
771 E Southlake Blvd Ste 223
Southlake, TX 76092-7065
Phone
(817) 803-2715
NPI assigned
Jul 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Dr. Russell Tennyson Toll, PHDNPI 1356053565
Title
Managing Member
Phone
(512) 663-3142

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

771 E Southlake Blvd Ste 223
Southlake, TX 76092-7065

Mailing address

771 E Southlake Blvd Ste 223
Southlake, TX 76092-7065
Phone (817) 803-2715

Other names 1

  • Compassion NeuroHealth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027002651 TX Part B Supplier - Clinic/Group Practice 1254820731 Receives reassigned benefits from 1 practitioner
Practice locations: Southlake, TX

National Provider Directory

National Provider Directory

Locations

771 E Southlake Blvd
Ste 223
Southlake, TX 76092
Phone (817) 803-2715

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1942192232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 223",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927065",
            "telephone_number": "817-803-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 223",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927065",
            "telephone_number": "817-803-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "TOLL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "TENNYSON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-663-3142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion NeuroHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.