Active NPI
Taofeeq Alaba Awesu
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1174264535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83773
- Practice address
- 18203 Rim Dr # 1011033
San Antonio, TX 78257-9543 - Phone
- (888) 588-8995
- NPI assigned
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83773 | TX | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
18203 Rim Dr # 1011033
San Antonio, TX 78257-9543
Mailing address
18203 Rim Dr # 1011033
San Antonio, TX 78257-9543
Phone (888) 588-8995
Other practice location 1
2600 Memorial Park Dr
Brownwood, TX 76801-5950
Phone (325) 641-0568
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83773 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health Group PLLC | Professional | Past | Accepting new patients |
Interoperability endpoints
- taofeeq.awesu.1@25119.direct.athenahealth.com
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": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1174264535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18203 RIM DR # 1011033",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782579543",
"telephone_number": "888-588-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18203 RIM DR # 1011033",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782579543",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "2600 Memorial Park Dr",
"address_purpose": "LOCATION",
"city": "Brownwood",
"state": "TX",
"postal_code": "768015950",
"country_code": "US",
"telephone_number": "325-641-0568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AWESU",
"first_name": "TAOFEEQ",
"middle_name": "ALABA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2023-04-04",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83773",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.