Active NPI
Chinwendu Peace Onwusor
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024084929
- Practice address
- 411 N Washington Ave Ste 5200
Dallas, TX 75246-1778 - Phone
- (855) 204-2502
- Fax
- (817) 783-4672
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024084929 | TX | Primary |
Addresses
Primary practice location
411 N Washington Ave Ste 5200
Dallas, TX 75246-1778
Mailing address
1620 Pegasus Dr
Forney, TX 75126-1337
Phone (469) 269-9972
Other practice location 1
6020 W Parker Rd Ste 305
Plano, TX 75093-8350
Phone (855) 204-2502
Other practice location 2
2800 E Highway 114 Ste 350
Trophy Club, TX 76262-5309
Phone (855) 204-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251027002650 | TX | Practitioner - Nurse Practitioner | 6709375280 | 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
- Group practices
- Kotel Atx
Practice addresses (Care Compare)
Aubrey, TX 76227
Phone (469) 277-8991
Trophy Club, TX 76262
Phone (512) 777-2591
411 N Washington Ave
Suite 5200
Dallas, TX 75246-1778
Phone (855) 204-2502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1184131 | TX | MD | Physical Therapist |
| 2024084929 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Care Home LLC | Current | Accepting new patients | |
| Kotel Atx | Single Specialty | Current | Accepting new patients |
| Confidant Texas PA | Single Specialty | Past | Accepting new patients |
Locations
411 N Washington Ave
Ste 5200
Dallas, TX 75246
Phone (773) 606-6594
6020 W Parker Rd
Ste 305
Plano, TX 75093
Phone (214) 380-0799
2800 E Highway 114
Ste 350
Trophy Club, TX 76262
Phone (817) 490-7856
3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Forney, TX
- NPI 1003655291
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1578282554
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1104649631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 PEGASUS DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751261337",
"telephone_number": "469-269-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461778",
"telephone_number": "855-204-2502",
"fax_number": "817-783-4672"
}
],
"practiceLocations": [
{
"address_1": "6020 W Parker Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938350",
"country_code": "US",
"telephone_number": "855-204-2502",
"fax_number": "817-783-4672",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 E Highway 114 Ste 350",
"address_purpose": "LOCATION",
"city": "Trophy Club",
"state": "TX",
"postal_code": "762625309",
"country_code": "US",
"telephone_number": "855-204-2502",
"fax_number": "817-783-4672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONWUSOR",
"first_name": "CHINWENDU",
"middle_name": "PEACE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "2024084929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.