REHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC
NPI 1053156331
Nurse Practitioner - Psychiatric/Mental Health in Mansfield, TX

Q: What is Rehoboth Mental Health And Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 27, 2024

1475 HERITAGE PKWY STE 209, MANSFIELD, TX 76063(817) 523-8812(817) 241-1947 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Sep 11, 2025, Sep 4, 2025 and 3 more (6 updates tracked since 2024).

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About Rehoboth Mental Health And Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC (NPI 1053156331) is a healthcare organization registered as a psychiatric/mental health in Mansfield, Texas and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Austin and lists Omotayo Gbengaojo, Owner/authorised Official, as its authorized official.

NPPES Registry Identity

NPI1053156331

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameREHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC

Location Address1475 HERITAGE PKWY STE 209Mansfield, TX 76063-2740

Mailing Address1475 Heritage Pkwy Ste 209Mansfield, TX 76063-2740 · (817) 523-8812

Phone(817) 523-8812

Fax(817) 241-1947

Organization SubpartNo

Authorized OfficialOmotayo GbengaojoOwner/authorised Official · (817) 523-8812

Enumeration DateJune 27, 2024

Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1053156331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1475 HERITAGE PKWY STE 209, Mansfield, TX 76063

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Secondary Practice Location 1

Location 15900 Balcones DrAustin, TX 78731-4257 · Phone (817) 523-8812 ext. 38812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rehoboth Mental Health And Psychiatry Pllc 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 Rehoboth Mental Health And Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omotayo Gbengaojo, APRN

Nurse Practitioner

NPI 1972201895

1475 HERITAGE PKWY STE 209
Mansfield, TX 76063

(817) 523-8812

✔ PECOS✔ Accepts MedicareSame address

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 Rehoboth Mental Health And Psychiatry PLLC's NPI number?

The NPI number for Rehoboth Mental Health And Psychiatry PLLC is 1053156331. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Rehoboth Mental Health And Psychiatry PLLC located?

Rehoboth Mental Health And Psychiatry PLLC is located at 1475 Heritage Pkwy Ste 209, Mansfield, TX 76063. The listed phone number is (817) 523-8812.

What is Rehoboth Mental Health And Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rehoboth Mental Health And Psychiatry PLLC enrolled in Medicare?

Yes. Rehoboth Mental Health And Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rehoboth Mental Health And Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rehoboth Mental Health And Psychiatry PLLC. 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.

What insurance does Rehoboth Mental Health And Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and Molina Healthcare list Rehoboth Mental Health And Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rehoboth Mental Health And Psychiatry PLLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.