Tkt Enlightenment, LLC
NPI 1407128218 · Child & Adolescent Psychiatry Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tkt Enlightenment, LLC is a Child & Adolescent Psychiatry Physician organization in San Antonio, TX (NPI 1407128218).
Provider details
- NPI number
- 1407128218
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Polk, Ceo(210) 857-8301
- License
- M7529 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-09
- Last updated
- 2012-05-25
Frequently asked questions
- What is Tkt Enlightenment, LLC's NPI number?
- Tkt Enlightenment, LLC's National Provider Identifier (NPI) is 1407128218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tkt Enlightenment, LLC?
- Tkt Enlightenment, LLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Tkt Enlightenment, LLC located?
- Tkt Enlightenment, LLC's practice location on file with NPPES is 17720 Corporate Woods Dr, San Antonio, TX 78259-3500.
- What is Tkt Enlightenment, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tkt Enlightenment, LLC is (210) 495-3627.
- Does Tkt Enlightenment, LLC accept Medicare?
- Tkt Enlightenment, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tkt Enlightenment, LLC?
- The authorized official listed on Tkt Enlightenment, LLC's NPPES record is Henry Polk, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tkt Enlightenment, LLC's NPI active?
- Yes — Tkt Enlightenment, LLC's NPI (1407128218) is active in the NPPES registry as of the last update on 2012-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.