ADULT & GERIATRIC WHOLISTIC HEALTH LLC
NPI 1205642915
Nurse Practitioner - Psychiatric/Mental Health in Stafford, TX
About Adult & Geriatric Wholistic Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADULT & GERIATRIC WHOLISTIC HEALTH LLC (NPI 1205642915) is a healthcare organization registered as a psychiatric/mental health in Stafford, Texas and active in the NPI registry since December 2024. The organization lists Patricia Z Mbola, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Adult & Geriatric Wholistic Health 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 Adult & Geriatric Wholistic Health LLC, 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 Adult & Geriatric Wholistic Health LLC's NPI number?
The NPI number for Adult & Geriatric Wholistic Health LLC is 1205642915. It was assigned to this organization in the NPPES registry on December 6, 2024.
Where is Adult & Geriatric Wholistic Health LLC located?
Adult & Geriatric Wholistic Health LLC is located at 647 S Marathon Way, Stafford, TX 77477. The listed phone number is (832) 908-8136.
What is Adult & Geriatric Wholistic Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adult & Geriatric Wholistic Health LLC enrolled in Medicare?
Yes. Adult & Geriatric Wholistic Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adult & Geriatric Wholistic Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Adult & Geriatric Wholistic Health 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 Adult & Geriatric Wholistic Health LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Adult & Geriatric Wholistic Health 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 Adult & Geriatric Wholistic Health LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Adult & Geriatric Wholistic Health Llc · NPI 1205642915
Psychiatric/Mental Health organization in Stafford, Texas. Organization record, active in the CMS NPPES registry since December 6, 2024.
## Identity
- **NPI:** 1205642915 (Entity type: Organization)
- **Enumerated:** December 6, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Adult & Geriatric Wholistic Health LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Patricia Mbola, MANAGER
## Practice location
- **Address:** 647 S MARATHON WAY, Stafford, TX 77477-5841
- **Phone:** (832) 908-8136
## 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:** December 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205642915) · Data from the CMS NPPES public registry.