TENNESSEE KETAMINE AND WELLNESS PLLC
NPI 1104709534
Clinic/Center - Mental Health (Including Community Mental Health Center) in Franklin, TN
About Tennessee Ketamine And Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENNESSEE KETAMINE AND WELLNESS PLLC (NPI 1104709534) is a healthcare organization registered as a mental health (including community mental health center) in Franklin, Tennessee and active in the NPI registry since July 2025. The organization lists Heather Kathleen O'keefe, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Tennessee Ketamine And 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 Tennessee Ketamine And 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 Tennessee Ketamine And Wellness PLLC's NPI number?
The NPI number for Tennessee Ketamine And Wellness PLLC is 1104709534. It was assigned to this organization in the NPPES registry on July 31, 2025.
Where is Tennessee Ketamine And Wellness PLLC located?
Tennessee Ketamine And Wellness PLLC is located at 1909 Mallory Ln Ste 300, Franklin, TN 37067. The listed phone number is (615) 813-5006.
What is Tennessee Ketamine And Wellness PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Tennessee Ketamine And Wellness PLLC enrolled in Medicare?
Yes. Tennessee Ketamine And Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tennessee Ketamine And Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Tennessee Ketamine And 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 Tennessee Ketamine And Wellness PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tennessee Ketamine And 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 Tennessee Ketamine And Wellness PLLC was last updated on December 30, 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.
# Tennessee Ketamine And Wellness Pllc · NPI 1104709534
Mental Health (Including Community Mental Health Center) organization in Franklin, Tennessee. Organization record, active in the CMS NPPES registry since July 31, 2025.
## Identity
- **NPI:** 1104709534 (Entity type: Organization)
- **Enumerated:** July 31, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Heather O'keefe, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1909 MALLORY LN STE 300, Franklin, TN 37067-2843
- **Phone:** (615) 813-5006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104709534) · Data from the CMS NPPES public registry.