DIVINE MENTAL HEALTHCARE SERVICES LLC
NPI 1205616679
Nurse Practitioner - Psychiatric/Mental Health in El Paso, TX

Active since October 03, 2023
1900 N MESA ST STE C, EL PASO, TX 79902(915) 820-0315 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Oct 3, 2023 (2 updates tracked since 2023).

About Divine Mental Healthcare Services Llc NPPES

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

DIVINE MENTAL HEALTHCARE SERVICES LLC (NPI 1205616679) is a healthcare organization registered as a psychiatric/mental health in El Paso, Texas and active in the NPI registry since October 2023. The organization lists Lauretta Stubbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1205616679
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE MENTAL HEALTHCARE SERVICES LLC
Location Address1900 N MESA ST STE CEl Paso, TX 79902-3309
Mailing Address1504 Petaya LnEl Paso, TX 79912-8497 · (915) 820-0315
Organization SubpartNo
Authorized OfficialLauretta StubbsOwner · (915) 820-0315
Enumeration DateOctober 3, 2023
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1205616679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1900 N MESA ST STE C, El Paso, TX 79902

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Healthcare Services Llc 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 Healthcare Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1477859072
1801 N OREGON ATTN: MEDICAL STAFF SERVICES
El Paso, TX 79902
(915) 521-1200
✔ PECOS✔ Accepts Medicare0.1 mi

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 Healthcare Services LLC's NPI number?

The NPI number for Divine Mental Healthcare Services LLC is 1205616679. It was assigned to this organization in the NPPES registry on October 3, 2023.

Where is Divine Mental Healthcare Services LLC located?

Divine Mental Healthcare Services LLC is located at 1900 N Mesa St Ste C, El Paso, TX 79902. The listed phone number is (915) 820-0315.

What is Divine Mental Healthcare Services LLC's specialty?

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

Is Divine Mental Healthcare Services LLC enrolled in Medicare?

Yes. Divine Mental Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Divine Mental Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Mental Healthcare Services LLC. 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 Healthcare Services LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Divine Mental Healthcare Services LLC 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 Healthcare Services LLC was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.