Ola Chinma Anyanwu, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI 1083360945 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1083360945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP61676559 (WA)
- Practice address
- 101 Elliott Ave W Ste 500
Seattle, WA 98119-4292 - Phone
- (214) 403-6744
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mindful Therapy Group PC
Practice addresses (Care Compare)
101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WY, CO, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220512001177 | WY | Practitioner - Nurse Practitioner | 0042697021 | Reassigns benefits to 1 organization |
| I20220525000353 | CO | Practitioner - Nurse Practitioner | 0042697021 | Reassigns benefits to 1 organization |
| I20250617001449 | WA | Practitioner - Nurse Practitioner | 0042697021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-RXN-0002051-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1071804 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61676559 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Single Specialty | Current |
Accepting new patients |
| Pec Medical Consulting, PLLC | Single Specialty | Current |
Accepting new patients |
| Cardinal Support LLC | Single Specialty | Current |
Accepting new patients |
Locations
402 W Wheatland Rd
Ste 140
Duncanville, TX 75116
Phone (833) 691-3273
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 1071804 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-RXN-0002051-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 49705 | WY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61676559 | WA | Yes |
Addresses
Primary practice location
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Mailing address
100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (307) 630-4729
Other practice location 1
Liv Health
2622 Pioneer Avenue
Cheyenne, WY 82001
Phone (307) 630-4729
Other practice location 2
322 Andre Dr
Irving, TX 75063-5346
Phone (214) 403-6744
Other practice location 3
402 W Wheatland Rd Ste 140
Duncanville, TX 75116-4628
Phone (972) 503-4109
Other practice location 4
1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070
Other practice location 5
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729
Other providers in Seattle, WA
- Chima D Anukam
- Anusha R Etikala BDS Ms PLLC
- Amornpol Anuwatworn
- Anjum Anwar
- Anxient Embers Health & Wellness LLC
- Edith Anyieni
- Anything Helps
- Anywhere Medical Care, LLC
- Jixia Ao
- Carol Emi Aoki-Kramer
All providers in Seattle, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.