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TKT ENLIGHTENMENT, LLC
NPI 1407128218
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Antonio, TX

Active since February 09, 2012
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259(210) 495-3627(210) 491-3581 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tkt Enlightenment, Llc NPPES

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

TKT ENLIGHTENMENT, LLC (NPI 1407128218) is a healthcare organization registered as a child & adolescent psychiatry in San Antonio, Texas and active in the NPI registry since February 2012. The organization lists Henry Lysell Polk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407128218
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameTKT ENLIGHTENMENT, LLC
Location Address17720 CORPORATE WOODS DRSan Antonio, TX 78259-3500
Mailing Address17503 La Cantera Pkwy, Suite 104, #485San Antonio, TX 78257-8207 · (210) 857-8301
Phone(210) 495-3627
Fax(210) 491-3581
Organization SubpartNo
Authorized OfficialHenry Lysell PolkCeo · (210) 857-8301
Enumeration DateFebruary 9, 2012
Last NPPES UpdateMay 25, 2012
✔ NPI 1407128218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in TX · M7529
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
17720 CORPORATE WOODS DR, San Antonio, TX 78259
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Tkt Enlightenment, 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 Tkt Enlightenment, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Henry Polk, M.D.
Psychiatry
NPI 1053390013
8550 HUEBNER RD
San Antonio, TX 78240
(210) 541-5300
✔ PECOS✔ Accepts Medicare12 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 Tkt Enlightenment, LLC's NPI number?

The NPI number for Tkt Enlightenment, LLC is 1407128218. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Tkt Enlightenment, LLC located?

Tkt Enlightenment, LLC is located at 17720 Corporate Woods Dr, San Antonio, TX 78259. The listed phone number is (210) 495-3627.

What is Tkt Enlightenment, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tkt Enlightenment, LLC enrolled in Medicare?

Yes. Tkt Enlightenment, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tkt Enlightenment, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Tkt Enlightenment, 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 Tkt Enlightenment, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Tkt Enlightenment, 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 Tkt Enlightenment, LLC was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.