INTENTIONAL MENTAL HEALTH & WELLNESS PLLC
NPI 1336923606
Counselor - Professional in Joaquin, TX

Active since August 18, 2023
9626 STATE HIGHWAY 7 E, JOAQUIN, TX 75954(936) 657-8023 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2023, Aug 18, 2023 (2 updates tracked since 2023).

About Intentional Mental Health & Wellness Pllc NPPES

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

INTENTIONAL MENTAL HEALTH & WELLNESS PLLC (NPI 1336923606) is a healthcare organization registered as a professional in Joaquin, Texas and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Joaquin and lists Lauren Bonner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1336923606
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINTENTIONAL MENTAL HEALTH & WELLNESS PLLC
Location Address9626 STATE HIGHWAY 7 EJoaquin, TX 75954-3986
Mailing Address415 County Road 3794Joaquin, TX 75954-2401
Organization SubpartNo
Authorized OfficialLauren BonnerAuthorized Official · (936) 657-8023
Enumeration DateAugust 18, 2023
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1336923606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
9626 STATE HIGHWAY 7 E, Joaquin, TX 75954

Secondary Practice Location 1

Location 1415 County Road 3794Joaquin, TX 75954-2401 · Phone (936) 657-8023

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Intentional Mental Health & Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Intentional Mental Health & Wellness PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1568037802
304 LOGANSPORT ST
Center, TX 75935
(936) 657-8023
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1437847100
114 NACOGDOCHES ST STE D
Center, TX 75935
(903) 754-9328
✔ PECOS14 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 Intentional Mental Health & Wellness PLLC's NPI number?

The NPI number for Intentional Mental Health & Wellness PLLC is 1336923606. It was assigned to this organization in the NPPES registry on August 18, 2023.

Where is Intentional Mental Health & Wellness PLLC located?

Intentional Mental Health & Wellness PLLC is located at 9626 State Highway 7 E, Joaquin, TX 75954. The listed phone number is (936) 657-8023.

What is Intentional Mental Health & Wellness PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Intentional Mental Health & Wellness PLLC enrolled in Medicare?

Yes. Intentional Mental Health & Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intentional Mental Health & Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Intentional Mental Health & 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 Intentional Mental Health & Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Intentional Mental Health & 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 Intentional Mental Health & Wellness PLLC was last updated on August 21, 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.