SOUND MIND HOLISTIC SERVICES LLC
NPI 1700523693
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX
About Sound Mind Holistic Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUND MIND HOLISTIC SERVICES LLC (NPI 1700523693) is a healthcare organization registered as a psychiatric/mental health in Fort Worth, Texas and active in the NPI registry since May 2022. The organization lists Nzima Josephine Etta, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Sound Mind Holistic Services 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 Sound Mind Holistic Services 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 Sound Mind Holistic Services LLC's NPI number?
The NPI number for Sound Mind Holistic Services LLC is 1700523693. It was assigned to this organization in the NPPES registry on May 12, 2022.
Where is Sound Mind Holistic Services LLC located?
Sound Mind Holistic Services LLC is located at 4500 Mercantile Plaza Dr Ste 300, Fort Worth, TX 76137. The listed phone number is (817) 874-0159.
What is Sound Mind Holistic Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sound Mind Holistic Services LLC enrolled in Medicare?
Yes. Sound Mind Holistic Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sound Mind Holistic Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sound Mind Holistic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sound Mind Holistic Services LLC accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Sound Mind Holistic 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 Sound Mind Holistic Services LLC was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sound Mind Holistic Services Llc · NPI 1700523693
Psychiatric/Mental Health organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1700523693 (Entity type: Organization)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Nzima Josephine Etta, CEO
## Practice location
- **Address:** 4500 MERCANTILE PLAZA DR STE 300, Fort Worth, TX 76137-4206
- **Phone:** (817) 874-0159
## 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:** May 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1700523693) · Data from the CMS NPPES public registry.