VIGEO KETAMINE AND WELLNESS CENTER, LLC
NPI 1912612557
Psychiatry & Neurology - Psychiatry in Weatherford, TX

Active since January 18, 2023CLIA 45D2332087 · Waiver
1800 LONE OAK RD STE 10, WEATHERFORD, TX 76086(817) 783-0463(682) 262-1235 Get Directions Write a Review

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

Record update history: Jan 5, 2026, Nov 13, 2025, Oct 4, 2024 and 3 more (6 updates tracked since 2023).

About Vigeo Ketamine And Wellness Center, Llc NPPES

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

VIGEO KETAMINE AND WELLNESS CENTER, LLC (NPI 1912612557), doing business as Vigeo Wellness, is a healthcare organization registered as a psychiatry in Weatherford, Texas and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through October 13, 2027, maintains a secondary practice location in Fort Worth, and lists Megan Holland, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1912612557
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameVIGEO KETAMINE AND WELLNESS CENTER, LLC
Location Address1800 LONE OAK RD STE 10Weatherford, TX 76086-4912
Mailing Address148 Bearclaw CirAledo, TX 76008-1230 · (817) 886-4976
Fax(682) 262-1235
Organization SubpartNo
Authorized OfficialMegan HollandOwner/director · (817) 886-4976
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1912612557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedClinic/CenterTaxonomy 261Q00000X
1800 LONE OAK RD STE 10, Weatherford, TX 76086

Other Names 1

Doing Business AsVigeo Wellness

Secondary Practice Location 1

Location 1906 W Cannon St Apt 100Fort Worth, TX 76104-3052 · Phone (817) 783-0463 · Fax (817) 345-4818

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)

Vigeo Ketamine And Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vigeo Ketamine And Wellness Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1295599819
4927 BYERS AVE
Fort Worth, TX 76107
(409) 771-9333
✔ PECOS21 mi
Psychiatry
NPI 1659604221
1500 S MAIN ST
Fort Worth, TX 76104
(817) 927-3636
✔ PECOS✔ Accepts Medicare25 mi

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 45D2332087

Vigeo Ketomine Wellness LLC · Fort Worth, TX
Active · expires Oct 13, 2027
CLIA Number45D2332087
Laboratory TypePractitioner Other
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorMegan Holland
Laboratory Phone(817) 886-4976
Laboratory LocationVigeo Ketomine Wellness LLC906 W Cannon St Suite 100, Fort Worth, TX 76104
CLIA data matches this NPI record on: 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 Vigeo Ketamine And Wellness Center, LLC's NPI number?

The NPI number for Vigeo Ketamine And Wellness Center, LLC is 1912612557. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Vigeo Wellness.

Where is Vigeo Ketamine And Wellness Center, LLC located?

Vigeo Ketamine And Wellness Center, LLC is located at 1800 Lone Oak Rd Ste 10, Weatherford, TX 76086. The listed phone number is (817) 783-0463.

What is Vigeo Ketamine And Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Vigeo Ketamine And Wellness Center, LLC enrolled in Medicare?

Yes. Vigeo Ketamine And Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vigeo Ketamine And Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vigeo Ketamine And Wellness Center, LLC, in Nurse Practitioner and Psychiatry. 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 Vigeo Ketamine And Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2332087) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vigeo Ketamine And Wellness Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Vigeo Ketamine And 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 Vigeo Ketamine And Wellness Center, LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.