Organization Active NPI

Leadingedge Behavioural Health and Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1013637461
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC
Practice address
1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239
Phone
(936) 661-3038
Fax
(214) 758-7136
NPI assigned
Aug 29, 2022
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oluwatobi Faith Adeleke, PMHNPNPI 1194472233
Title
Owner
Phone
(936) 661-3038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239

Mailing address

1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239
Phone (936) 661-3038

Other identifiers 1

IdentifierTypeStateIssuer
1070812OtherTXTEXAS BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://leadingedgebehavioural.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130000126 TX Part B Supplier - Clinic/Group Practice 6901274620 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

1915 N Frazier St
Ste 102F14
Conroe, TX 77301
Phone (936) 661-3038

610 N Loop 336 E
Ste 136
Conroe, TX 77301

704 Longmire Rd
Conroe, TX 77304
Phone (936) 441-1525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1013637461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102F14",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "936-661-3038",
            "fax_number": "214-758-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102F14",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "936-661-3038",
            "fax_number": "214-758-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADINGEDGE BEHAVIOURAL HEALTH AND SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "ADELEKE",
        "authorized_official_first_name": "OLUWATOBI",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-661-3038",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1070812",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://leadingedgebehavioural.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1915 N Frazier St Ste 102F14",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773011239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.