Individual provider Active NPI

Kosisochi Ginigeme Ngozi-Ibeh

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
National Provider Identifier
1063121176
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1097195 Issued in TX
Practice address
425 Pinson Rd Ste M
Forney, TX 75126-9774
Phone
(469) 977-1300
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1097195 TX Primary

Addresses

Primary practice location

425 Pinson Rd Ste M
Forney, TX 75126-9774

Mailing address

425 Pinson Rd Ste M
Forney, TX 75126-9774
Phone (469) 977-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1097195TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Psychiatry, PLLC Single Specialty Current Accepting new patients

Locations

425 Pinson Rd
Ste M
Forney, TX 75126
Phone (469) 212-6565

6525 Horizon Rd
Ste 130
Rockwall, TX 75032
Phone (972) 754-6329

Organizations & group practices 1

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1063121176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINSON RD STE M",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269774",
            "telephone_number": "469-977-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINSON RD STE M",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269774",
            "telephone_number": "469-977-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOZI-IBEH",
        "first_name": "KOSISOCHI",
        "middle_name": "GINIGEME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1097195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.