Phoenixpath Mental Health Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHOENIXPATH MENTAL HEALTH SERVICES PLLC

Practice address

2034 Cucumber CT
Temple, TX 76502-7473

Phone

(315) 547-0502

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Oluwakemi Okunlola, PMHNPNPI 1700760451

Title

Sole Owner

Phone

(315) 547-0502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwakemi Esther Okunlola

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1700760451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1063382166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 CUCUMBER CT",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027473",
            "telephone_number": "254-421-0420",
            "fax_number": "218-396-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CUCUMBER CT",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027473",
            "telephone_number": "315-547-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXPATH MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "OKUNLOLA",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "315-547-0502",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Joseph Philippon, CRNA
• Michael J. Phillips, M.D.
• Taylor Phillips, PHARMD
• William Ellsworth Phillips, M.D.
• Victoria Baongoc Pho, PHARM.D.
• Physician Pain Care Associates
• Physicians of King'S Daughters P.a.
• Physicians of King'S Daughters, P.a.
• Physicians of King'S Daughters, P.a.
• Physicians of King'S Daughters, P.a.

• Psychiatric/Mental Health Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.