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SERAPHIM MENTAL WHOLENESS
NPI 1497534663
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since September 26, 2023
2626 COLE AVE STE 300, DALLAS, TX 75204(469) 340-1849(469) 809-7865 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Seraphim Mental Wholeness NPPES

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

SERAPHIM MENTAL WHOLENESS (NPI 1497534663) is a healthcare organization registered as a psychiatric/mental health in Dallas, Texas and active in the NPI registry since September 2023. The organization lists Abidemi L Olusanya, Owner, as its authorized official.

NPPES Registry Identity

NPI1497534663
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERAPHIM MENTAL WHOLENESS
Location Address2626 COLE AVE STE 300Dallas, TX 75204-1094
Mailing Address2626 Cole Ave Ste 300Dallas, TX 75204-1094 · (469) 340-1849 · Fax (469) 809-7865
Phone(469) 340-1849
Fax(469) 809-7865
Organization SubpartNo
Authorized OfficialAbidemi L OlusanyaOwner · (469) 340-1849
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1497534663 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
2626 COLE AVE STE 300, Dallas, TX 75204
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Seraphim Mental Wholeness 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 Seraphim Mental Wholeness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abidemi Olusanya, PSYCH-NP
Nurse Practitioner
NPI 1528703097
2626 COLE AVE
Dallas, TX 75204
(469) 613-2110
✔ PECOS✔ Accepts MedicareSame address

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 Seraphim Mental Wholeness's NPI number?

The NPI number for Seraphim Mental Wholeness is 1497534663. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Seraphim Mental Wholeness located?

Seraphim Mental Wholeness is located at 2626 Cole Ave Ste 300, Dallas, TX 75204. The listed phone number is (469) 340-1849.

What is Seraphim Mental Wholeness's specialty?

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

Is Seraphim Mental Wholeness enrolled in Medicare?

Yes. Seraphim Mental Wholeness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seraphim Mental Wholeness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Seraphim Mental Wholeness. 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 Seraphim Mental Wholeness accept?

Health plans from Molina Healthcare list Seraphim Mental Wholeness 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 Seraphim Mental Wholeness was last updated on September 26, 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.