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HEALING WATERS MENTAL HEALTH LLC
NPI 1710867981
Nurse Practitioner - Psychiatric/Mental Health in Maryville, TN

Active since September 06, 2025CLIA 44D2331571 · Waiver
1706 TRIANGLE PARK DR, MARYVILLE, TN 37801(865) 214-7343(865) 381-1437 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Sep 6, 2025 (2 updates tracked since 2025).

About Healing Waters Mental Health Llc NPPES

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

HEALING WATERS MENTAL HEALTH LLC (NPI 1710867981) is a healthcare organization registered as a psychiatric/mental health in Maryville, Tennessee and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Suzanne Marie Winzenburg, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1710867981
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALING WATERS MENTAL HEALTH LLC
Location Address1706 TRIANGLE PARK DRMaryville, TN 37801-3749
Mailing Address1706 Triangle Park DrMaryville, TN 37801-3749 · (865) 214-7343 · Fax (865) 381-1437
Phone(865) 214-7343
Fax(865) 381-1437
Organization SubpartNo
Authorized OfficialSuzanne Marie WinzenburgOwner, Provider · (865) 214-7343
Enumeration DateSeptember 6, 2025
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1710867981 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
1706 TRIANGLE PARK DR, Maryville, TN 37801
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Waters Mental Health 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 Healing Waters Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Suzanne Winzenburg, PHMNP-BC, FNP-BC
Nurse Practitioner
NPI 1427192004
1706 TRIANGLE PARK DR
Maryville, TN 37801
(865) 214-7343
✔ 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.

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 44D2331571

Healing Waters Mental Health, LLC · Maryville, TN
Active · expires Oct 4, 2027
CLIA Number44D2331571
Laboratory TypeMental Health Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorSuzanne M. Winzenburg
Laboratory Phone(865) 214-7343
Laboratory LocationHealing Waters Mental Health, LLC1706 Triangle Park Dr, Maryville, TN 37801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Healing Waters Mental Health LLC's NPI number?

The NPI number for Healing Waters Mental Health LLC is 1710867981. It was assigned to this organization in the NPPES registry on September 6, 2025.

Where is Healing Waters Mental Health LLC located?

Healing Waters Mental Health LLC is located at 1706 Triangle Park Dr, Maryville, TN 37801. The listed phone number is (865) 214-7343.

What is Healing Waters Mental Health LLC's specialty?

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

Is Healing Waters Mental Health LLC enrolled in Medicare?

Yes. Healing Waters Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Waters Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healing Waters Mental Health 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.

Does Healing Waters Mental Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2331571) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Waters Mental Health LLC was last updated on February 5, 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.