COMMUNITY WELLNESS COALITION OUTPATIENT MENTAL HEALTH CLINIC
NPI 1033090550
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
About Community Wellness Coalition Outpatient Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY WELLNESS COALITION OUTPATIENT MENTAL HEALTH CLINIC (NPI 1033090550) is a healthcare organization registered as a psychiatric/mental health in Philadelphia, Pennsylvania and active in the NPI registry since September 2025. The organization lists Marie Sims, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Wellness Coalition Outpatient Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Wellness Coalition Outpatient Mental Health Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Wellness Coalition Outpatient Mental Health Clinic's NPI number?
The NPI number for Community Wellness Coalition Outpatient Mental Health Clinic is 1033090550. It was assigned to this organization in the NPPES registry on September 10, 2025.
Where is Community Wellness Coalition Outpatient Mental Health Clinic located?
Community Wellness Coalition Outpatient Mental Health Clinic is located at 3300 Henry Ave Okami Collective Suite 364, Philadelphia, PA 19129. The listed phone number is (215) 618-5596.
What is Community Wellness Coalition Outpatient Mental Health Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Community Wellness Coalition Outpatient Mental Health Clinic enrolled in Medicare?
Yes. Community Wellness Coalition Outpatient Mental Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Wellness Coalition Outpatient Mental Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community Wellness Coalition Outpatient Mental Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Community Wellness Coalition Outpatient Mental Health Clinic was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Community Wellness Coalition Outpatient Mental Health Clinic · NPI 1033090550
Psychiatric/Mental Health organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since September 10, 2025.
## Identity
- **NPI:** 1033090550 (Entity type: Organization)
- **Enumerated:** September 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Marie Sims, OWNER
## Practice location
- **Address:** 3300 HENRY AVE, OKAMI COLLECTIVE SUITE 364, Philadelphia, PA 19129-1141
- **Phone:** (215) 618-5596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1033090550) · Data from the CMS NPPES public registry.