HALO SPRINGS WELLNESS CENTER LLC
NPI 1851137665
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 02, 2024
310 SW 4TH AVE STE 300, PORTLAND, OR 97204(678) 849-5774 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Mar 7, 2025, Sep 9, 2024 and 1 more (4 updates tracked since 2024).

About Halo Springs Wellness Center Llc NPPES

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

HALO SPRINGS WELLNESS CENTER LLC (NPI 1851137665) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Atlanta and lists Ijeoma Jennifer Okeh, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1851137665
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHALO SPRINGS WELLNESS CENTER LLC
Location Address310 SW 4TH AVE STE 300Portland, OR 97204-2320
Mailing Address6433 Queens Court TrceMableton, GA 30126-7226 · (678) 849-5774
Organization SubpartNo
Authorized OfficialIjeoma Jennifer OkehPmhnp · (678) 849-5774
Enumeration DateJuly 2, 2024
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1851137665 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
310 SW 4TH AVE STE 300, Portland, OR 97204

Secondary Practice Location 1

Location 1215 Marvin Miller Dr SW Ste 123Atlanta, GA 30336-1813 · Phone (404) 905-8963 · Fax (404) 905-9327

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

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)

Halo Springs Wellness Center 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 Halo Springs Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578933230
215 MARVIN MILLER DR SW STE 123
Atlanta, GA 30336
(678) 849-5774
✔ PECOS✔ Accepts Medicare2,165 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 Halo Springs Wellness Center LLC's NPI number?

The NPI number for Halo Springs Wellness Center LLC is 1851137665. It was assigned to this organization in the NPPES registry on July 2, 2024.

Where is Halo Springs Wellness Center LLC located?

Halo Springs Wellness Center LLC is located at 310 SW 4th Ave Ste 300, Portland, OR 97204. The listed phone number is (678) 849-5774.

What is Halo Springs Wellness Center LLC's specialty?

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

Is Halo Springs Wellness Center LLC enrolled in Medicare?

Yes. Halo Springs Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Halo Springs Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Halo Springs Wellness Center 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 Halo Springs Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Halo Springs Wellness Center 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 Halo Springs Wellness Center LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.