ENLIGHTENED SOULS, PLLC
NPI 1063802908
Counselor - Professional in Stafford, TX
About Enlightened Souls, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENLIGHTENED SOULS, PLLC (NPI 1063802908) is a healthcare organization registered as a professional in Stafford, Texas and active in the NPI registry since January 2015. The organization maintains a secondary practice location in Katy and lists Jasmine Dominique Blue, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Enlightened Souls, 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 Enlightened Souls, 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 Enlightened Souls, PLLC's NPI number?
The NPI number for Enlightened Souls, PLLC is 1063802908. It was assigned to this organization in the NPPES registry on January 30, 2015.
Where is Enlightened Souls, PLLC located?
Enlightened Souls, PLLC is located at 501 Murphy Rd, Stafford, TX 77477. The listed phone number is (713) 539-5727.
What is Enlightened Souls, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Enlightened Souls, PLLC enrolled in Medicare?
Yes. Enlightened Souls, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Enlightened Souls, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Enlightened Souls, 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 Enlightened Souls, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Enlightened Souls, 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 Enlightened Souls, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Enlightened Souls, Pllc · NPI 1063802908
Professional organization in Stafford, Texas. Organization record, active in the CMS NPPES registry since January 30, 2015.
## Identity
- **NPI:** 1063802908 (Entity type: Organization)
- **Enumerated:** January 30, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Jasmine Blue, CEO
## Practice location
- **Address:** 501 MURPHY RD, Stafford, TX 77477-5417
- **Phone:** (713) 539-5727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063802908) · Data from the CMS NPPES public registry.