ABISOM BEHAVIORAL HEALTH LLC
NPI 1386337004
Nurse Practitioner - Psychiatric/Mental Health in The Woodlands, TX

Active since May 30, 2023
15 SPRINGTIME CREEK DR, THE WOODLANDS, TX 77354(832) 361-8577 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abisom Behavioral Health Llc NPPES

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

ABISOM BEHAVIORAL HEALTH LLC (NPI 1386337004) is a healthcare organization registered as a psychiatric/mental health in The Woodlands, Texas and active in the NPI registry since May 2023. The organization lists Emmanuel Kayode Sofela, Director, as its authorized official.

NPPES Registry Identity

NPI1386337004
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameABISOM BEHAVIORAL HEALTH LLC
Location Address15 SPRINGTIME CREEK DRThe Woodlands, TX 77354-4163
Mailing Address15 Springtime Creek DrThe Woodlands, TX 77354-4163 · (832) 361-8577
Organization SubpartNo
Authorized OfficialEmmanuel Kayode SofelaDirector · (832) 361-8577
Enumeration DateMay 30, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1386337004 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
15 SPRINGTIME CREEK DR, The Woodlands, TX 77354

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abisom Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Abisom Behavioral Health LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1033867007
12000 RICHMOND AVE STE 130
Houston, TX 77082
(832) 361-8577
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1528889714
6200 W PARKER RD
Plano, TX 75093
(972) 981-8000
✔ PECOS✔ Accepts Medicare211 mi
Nurse Practitioner
NPI 1225769631
5074 CENTENNIAL COMMONS DR NW
Acworth, GA 30102
(470) 507-3067
✔ PECOS697 mi
Psychiatry
NPI 1538690995
4006 WASHINGTON RD
Kenosha, WI 53144
(262) 656-0044
✔ PECOS✔ Accepts Medicare959 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 Abisom Behavioral Health LLC's NPI number?

The NPI number for Abisom Behavioral Health LLC is 1386337004. It was assigned to this organization in the NPPES registry on May 30, 2023.

Where is Abisom Behavioral Health LLC located?

Abisom Behavioral Health LLC is located at 15 Springtime Creek Dr, The Woodlands, TX 77354. The listed phone number is (832) 361-8577.

What is Abisom Behavioral Health LLC's specialty?

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

Is Abisom Behavioral Health LLC enrolled in Medicare?

Yes. Abisom Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abisom Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Abisom Behavioral 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. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Abisom Behavioral Health LLC was last updated on May 30, 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.