SOUTHERN PSYCHIATRIC SERVICES LLC
NPI 1700465432
Nurse Practitioner - Psychiatric/Mental Health in Bandera, TX
About Southern Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PSYCHIATRIC SERVICES LLC (NPI 1700465432) is a healthcare organization registered as a psychiatric/mental health in Bandera, Texas and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Bandera and lists Jeanie Heidelberg, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Southern Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Southern Psychiatric Services LLC's NPI number?
The NPI number for Southern Psychiatric Services LLC is 1700465432. It was assigned to this organization in the NPPES registry on April 8, 2021.
Where is Southern Psychiatric Services LLC located?
Southern Psychiatric Services LLC is located at 611 Main Street Ste 4, Bandera, TX 78003. The listed phone number is (830) 264-8210.
What is Southern Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Southern Psychiatric Services LLC enrolled in Medicare?
Yes. Southern Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Psychiatric Services 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Psychiatric Services LLC accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Southern Psychiatric Services 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 Southern Psychiatric Services LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Southern Psychiatric Services Llc · NPI 1700465432
Psychiatric/Mental Health organization in Bandera, Texas. Organization record, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1700465432 (Entity type: Organization)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jeanie Heidelberg, OWNER
## Practice location
- **Address:** 611 MAIN STREET, STE 4, Bandera, TX 78003
- **Phone:** (830) 264-8210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1700465432) · Data from the CMS NPPES public registry.