Individual provider Active NPI

Taofeeq Alaba Awesu

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1174264535
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83773 Issued in TX
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

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
83773TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Group PLLC Professional PastSince Mar 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.