Individual provider Active NPI

Ijeoma D Oranefo-Okoye, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westland, MI
National Provider Identifier
1043037500
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704286026 Issued in MI
Practice address
34290 Ford Rd
Westland, MI 48185-3051
Phone
(888) 813-8326
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704286026 MI Primary

Addresses

Primary practice location

34290 Ford Rd
Westland, MI 48185-3051

Mailing address

37470 Eagle Dr
Livonia, MI 48150-5055
Phone (734) 334-6769

Other practice location 1

37470 Eagle Dr
Livonia, MI 48150-5055
Phone (734) 334-6769

Other practice location 2

2 N Central Ave Fl 18
Phoenix, AZ 85004-2322
Phone (734) 334-6769

Other practice location 3

1000 N West St Ste 1200
Wilmington, DE 19801-1058
Phone (734) 334-6769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DE, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250207001530 MI Practitioner - Nurse Practitioner 2668902503 Reassigns benefits to 2 organizations
I20250221000316 DE Practitioner - Nurse Practitioner 2668902503 Reassigns benefits to 1 organization
I20250808000463 AZ Practitioner - Nurse Practitioner 2668902503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

2200 Genoa Business Park Dr
Suite 100
Brighton, MI 48114-5328
Phone (810) 494-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince Mar 12, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Mar 12, 2025 Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2200 Genoa Business Park Dr
Ste 100
Brighton, MI 48114
Phone (810) 449-7180

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ijeomaoranefookoye@150339.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1043037500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37470 EAGLE DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505055",
            "telephone_number": "734-334-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "888-813-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37470 Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481505055",
            "country_code": "US",
            "telephone_number": "734-334-6769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 N Central Ave Fl 18",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042322",
            "country_code": "US",
            "telephone_number": "734-334-6769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N West St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011058",
            "country_code": "US",
            "telephone_number": "734-334-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORANEFO-OKOYE",
        "first_name": "IJEOMA",
        "middle_name": "D",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704286026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.