11 11 MISSION BEHAVIORAL HEALTH PLLC
NPI 1255069878
Nurse Practitioner - Psychiatric/Mental Health in Poth, TX
About 11 11 Mission Behavioral Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
11 11 MISSION BEHAVIORAL HEALTH PLLC (NPI 1255069878), doing business as Mission Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Poth, Texas and active in the NPI registry since August 2022. The organization lists Carla Sikkema, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
11 11 Mission Behavioral Health 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 11 11 Mission Behavioral Health 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 11 11 Mission Behavioral Health PLLC's NPI number?
The NPI number for 11 11 Mission Behavioral Health PLLC is 1255069878. It was assigned to this organization in the NPPES registry on August 11, 2022. The provider is doing business as Mission Behavioral Health.
Where is 11 11 Mission Behavioral Health PLLC located?
11 11 Mission Behavioral Health PLLC is located at 117 Dilworth Plaza, Poth, TX 78147. The listed phone number is (830) 582-8778.
What is 11 11 Mission Behavioral Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is 11 11 Mission Behavioral Health PLLC enrolled in Medicare?
Yes. 11 11 Mission Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 11 11 Mission Behavioral Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 11 11 Mission Behavioral Health 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.
When was this NPI record last updated?
The NPPES record for 11 11 Mission Behavioral Health PLLC was last updated on August 11, 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.
# 11 11 Mission Behavioral Health Pllc · NPI 1255069878
Psychiatric/Mental Health organization in Poth, Texas. Organization record, active in the CMS NPPES registry since August 11, 2022.
## Identity
- **NPI:** 1255069878 (Entity type: Organization)
- **Enumerated:** August 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Mission Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Carla Sikkema, OWNER
## Practice location
- **Address:** 117 DILWORTH PLAZA, Poth, TX 78147
- **Phone:** (830) 582-8778
## 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:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255069878) · Data from the CMS NPPES public registry.