MENTALEASE LLC
NPI 1538025028
Nurse Practitioner - Psychiatric/Mental Health in Forsyth, GA
About Mentalease Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTALEASE LLC (NPI 1538025028) is a healthcare organization registered as a psychiatric/mental health in Forsyth, Georgia and active in the NPI registry since December 2025. The organization lists Angela Queen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mentalease 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 Mentalease LLC, 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 Mentalease LLC's NPI number?
The NPI number for Mentalease LLC is 1538025028. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Mentalease LLC located?
Mentalease LLC is located at 1248 Flint Rd, Forsyth, GA 31029. The listed phone number is (478) 960-2887.
What is Mentalease LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mentalease LLC enrolled in Medicare?
Yes. Mentalease LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mentalease LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mentalease 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.
When was this NPI record last updated?
The NPPES record for Mentalease LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mentalease Llc · NPI 1538025028
Psychiatric/Mental Health organization in Forsyth, Georgia. Organization record, active in the CMS NPPES registry since December 29, 2025.
## Identity
- **NPI:** 1538025028 (Entity type: Organization)
- **Enumerated:** December 29, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Angela Queen, OWNER
## Practice location
- **Address:** 1248 FLINT RD, Forsyth, GA 31029-6823
- **Phone:** (478) 960-2887 · **Fax:** (478) 960-2887
## 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:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538025028) · Data from the CMS NPPES public registry.