DIVINE MENTAL WELLNESS PLLC
NPI 1083411243
Nurse Practitioner - Psychiatric/Mental Health in Carrollton, TX
About Divine Mental Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE MENTAL WELLNESS PLLC (NPI 1083411243) is a healthcare organization registered as a psychiatric/mental health in Carrollton, Texas and active in the NPI registry since February 2025. The organization maintains 2 additional practice locations and lists Chioma Anwukah, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Divine Mental Wellness 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 Divine Mental Wellness 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 Divine Mental Wellness PLLC's NPI number?
The NPI number for Divine Mental Wellness PLLC is 1083411243. It was assigned to this organization in the NPPES registry on February 26, 2025.
Where is Divine Mental Wellness PLLC located?
Divine Mental Wellness PLLC is located at 3202 Delaford Dr, Carrollton, TX 75007. The listed phone number is (682) 800-3809.
What is Divine Mental Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Divine Mental Wellness PLLC enrolled in Medicare?
Yes. Divine Mental Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Mental Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Mental Wellness 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 Divine Mental Wellness PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Divine Mental Wellness 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 Divine Mental Wellness PLLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Divine Mental Wellness Pllc · NPI 1083411243
Psychiatric/Mental Health organization in Carrollton, Texas. Organization record, active in the CMS NPPES registry since February 26, 2025.
## Identity
- **NPI:** 1083411243 (Entity type: Organization)
- **Enumerated:** February 26, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Chioma Anwukah, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3202 DELAFORD DR, Carrollton, TX 75007-3036
- **Phone:** (682) 800-3809
## 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:** April 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083411243) · Data from the CMS NPPES public registry.