PHOENIXPATH MENTAL HEALTH SERVICES PLLC
NPI 1063382166
Nurse Practitioner - Psychiatric/Mental Health in Temple, TX
About Phoenixpath Mental Health Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIXPATH MENTAL HEALTH SERVICES PLLC (NPI 1063382166) is a healthcare organization registered as a psychiatric/mental health in Temple, Texas and active in the NPI registry since November 2025. The organization lists Oluwakemi Okunlola, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Phoenixpath Mental Health Services 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 Phoenixpath Mental Health Services PLLC, 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 Phoenixpath Mental Health Services PLLC's NPI number?
The NPI number for Phoenixpath Mental Health Services PLLC is 1063382166. It was assigned to this organization in the NPPES registry on November 5, 2025.
Where is Phoenixpath Mental Health Services PLLC located?
Phoenixpath Mental Health Services PLLC is located at 2034 Cucumber Ct, Temple, TX 76502. The listed phone number is (315) 547-0502.
What is Phoenixpath Mental Health Services PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Phoenixpath Mental Health Services PLLC enrolled in Medicare?
Yes. Phoenixpath Mental Health Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoenixpath Mental Health Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phoenixpath Mental Health Services 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 Phoenixpath Mental Health Services PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Phoenixpath Mental Health Services 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 Phoenixpath Mental Health Services PLLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Phoenixpath Mental Health Services Pllc · NPI 1063382166
Psychiatric/Mental Health organization in Temple, Texas. Organization record, active in the CMS NPPES registry since November 5, 2025.
## Identity
- **NPI:** 1063382166 (Entity type: Organization)
- **Enumerated:** November 5, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Oluwakemi Okunlola, SOLE OWNER
## Practice location
- **Address:** 2034 CUCUMBER CT, Temple, TX 76502-7473
- **Phone:** (315) 547-0502
## 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:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063382166) · Data from the CMS NPPES public registry.