SUCCEED MENTAL HEALTH & WELLNESS LLC
NPI 1831888312
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since May 02, 2023
82 S BALTIC PL STE 115, MERIDIAN, ID 83642(208) 469-3039 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Succeed Mental Health & Wellness Llc NPPES

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

SUCCEED MENTAL HEALTH & WELLNESS LLC (NPI 1831888312) is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since May 2023. The organization lists Matthew Ackley, Owner, as its authorized official.

NPPES Registry Identity

NPI1831888312
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUCCEED MENTAL HEALTH & WELLNESS LLC
Location Address82 S BALTIC PL STE 115Meridian, ID 83642-5935
Mailing Address82 S Baltic Pl Ste 115Meridian, ID 83642-5935 · (208) 469-3039
Organization SubpartNo
Authorized OfficialMatthew AckleyOwner · (208) 318-8997
Enumeration DateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1831888312 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
82 S BALTIC PL STE 115, Meridian, ID 83642

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Succeed Mental Health & Wellness 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 Succeed Mental Health & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609527167
1000 N CURTIS RD STE 202
Boise, ID 83706
(208) 283-7314
✔ PECOS✔ Accepts Medicare6.4 mi

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 Succeed Mental Health & Wellness LLC's NPI number?

The NPI number for Succeed Mental Health & Wellness LLC is 1831888312. It was assigned to this organization in the NPPES registry on May 2, 2023.

Where is Succeed Mental Health & Wellness LLC located?

Succeed Mental Health & Wellness LLC is located at 82 S Baltic Pl Ste 115, Meridian, ID 83642. The listed phone number is (208) 469-3039.

What is Succeed Mental Health & Wellness LLC's specialty?

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

Is Succeed Mental Health & Wellness LLC enrolled in Medicare?

Yes. Succeed Mental Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Succeed Mental Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Succeed Mental Health & Wellness 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 Succeed Mental Health & Wellness LLC was last updated on May 2, 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.