Organization Active NPI

Alamo Premier Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1124626114
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALAMO PREMIER MENTAL HEALTH PLLC
Practice address
6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179
Phone
(210) 940-2764
Fax
(830) 239-9930
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Kolade AjayiNPI 1427521186
Title
Owner
Phone
(817) 681-7386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179

Mailing address

6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179
Phone (210) 940-2764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201023001697 TX Part B Supplier - Clinic/Group Practice 3779903141 Receives reassigned benefits from 6 practitioners
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2317795Alamo Premier Mental Health PLLC6609 Blanco Road Ste 145, San Antonio, TX 78216RegistrationFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

8546 Broadway
#35
San Antonio, TX 78217

6609 Blanco Rd
Ste 145
San Antonio, TX 78216
Phone (210) 342-2299

6609 Blanco Rd
Ste 247
San Antonio, TX 78216
Phone (210) 828-0695

8546 Broadway
Ste 135
San Antonio, TX 78217
Phone (210) 940-2764

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1124626114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "210-940-2764",
            "fax_number": "830-239-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "210-940-2764",
            "fax_number": "830-239-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO PREMIER MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "KOLADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-681-7386"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.