Active NPI
Lloyd Ehigie Esene, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP145774
- Practice address
- 5900 Balcones Dr # 8229
Austin, TX 78731-4257 - Phone
- (469) 407-1172
- Fax
- (682) 222-7024
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP145774 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 800894 | TX |
Addresses
Primary practice location
5900 Balcones Dr # 8229
Austin, TX 78731-4257
Mailing address
2012 Hickory Hill Dr
Mansfield, TX 76063-2069
Phone (469) 407-1172
Other practice location 1
1501 S Coulter St
Amarillo, TX 79106-1770
Phone (214) 622-8556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1B1722 | Other | TX | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebonyman06@sbcglobal.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WV, CO, NY, DC, VA, UT, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1201 O St
Suite 809
Lincoln, NE 68508-1420
Phone (469) 407-1172
2102 Hickory Hill Dr
Mansfield, TX 76063-2069
4101 Old Ivy Way
Charlottesville, VA 22901
Phone (469) 407-1172
4309 John St
Suitland, MD 20746-3716
Phone (469) 407-1172
4419 Centennial Blvd
Suite 551
Colorado Springs, CO 80907-3739
Phone (469) 407-1172
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145774 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Telecare Medical Services PC | Current | Accepting new patients | |
| Ehab Yacoub MD Inc. | Current | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113
128 Capitol St
Charleston, WV 25301
Phone (276) 979-5390
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1942922703
CO, DC, NE, VA
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
AZ
-
- Psychiatry Physician
- Charleston, WV
- NPI 1629698766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1013542158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 HICKORY HILL DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760632069",
"telephone_number": "469-407-1172",
"fax_number": "682-222-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR # 8229",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "469-407-1172",
"fax_number": "682-222-7024"
}
],
"practiceLocations": [
{
"address_1": "1501 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061770",
"country_code": "US",
"telephone_number": "214-622-8556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESENE",
"first_name": "LLOYD",
"middle_name": "EHIGIE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP145774",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "800894",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1B1722",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebonyman06@sbcglobal.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1501 S Coulter St",
"city": "Amarillo",
"state": "TX",
"country_code": "US",
"postal_code": "791061770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.