MAGNOLIA MENTAL HEALTH AND WELLNESS LLC
NPI 1699557116
Nurse Practitioner - Psychiatric/Mental Health in Cookeville, TN
About Magnolia Mental Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA MENTAL HEALTH AND WELLNESS LLC (NPI 1699557116) is a healthcare organization registered as a psychiatric/mental health in Cookeville, Tennessee and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through August 4, 2028 and lists Vickie Brown, 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)
Magnolia Mental Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Magnolia Mental Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2308812
Magnolia Mental Health And Wellness LLC · Cookeville, TNFrequently 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 Magnolia Mental Health And Wellness LLC's NPI number?
The NPI number for Magnolia Mental Health And Wellness LLC is 1699557116. It was assigned to this organization in the NPPES registry on October 18, 2023.
Where is Magnolia Mental Health And Wellness LLC located?
Magnolia Mental Health And Wellness LLC is located at 420 S Lowe Ave Ste 20, Cookeville, TN 38501. The listed phone number is (931) 239-4039.
What is Magnolia Mental Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Magnolia Mental Health And Wellness LLC enrolled in Medicare?
Yes. Magnolia Mental Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Mental Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Magnolia Mental Health And Wellness LLC, in Certified Clinical Nurse Specialist (CNS), Mental Health Counselor and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Magnolia Mental Health And Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2308812) is associated with this NPI, valid through August 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Magnolia Mental Health And Wellness LLC was last updated on October 18, 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.
# Magnolia Mental Health And Wellness Llc · NPI 1699557116
Psychiatric/Mental Health organization in Cookeville, Tennessee. Organization record, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1699557116 (Entity type: Organization)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Vickie Brown, OWNER
## Practice location
- **Address:** 420 S LOWE AVE STE 20, Cookeville, TN 38501-4718
- **Phone:** (931) 239-4039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Certified Clinical Nurse Specialist (CNS) (1), Mental Health Counselor (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699557116) · Data from the CMS NPPES public registry.