Individual provider Active NPI

Vincent Okechukwu Anokwute

  • Counselor
  • Dallas, TX
National Provider Identifier
1184383283
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
82314 Issued in TX
Practice address
4645 Samuell Blvd
Dallas, TX 75228-6826
Phone
(214) 743-1200
NPI assigned
Dec 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82314
Counselor 101Y00000X 82314 TX Primary

Addresses

Primary practice location

4645 Samuell Blvd
Dallas, TX 75228-6826

Mailing address

1115 Mandeville Dr
Murphy, TX 75094-4145
Phone (146) 936-3144

Other practice location 1

1115 Mandeville Dr
Murphy, TX 75094-4145
Phone (146) 936-3144

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000815 TX Practitioner - Mental Health Counselor 1456700798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Mental Health and Mental Retardation CenterGroup PAC ID 2062308091, 68 clinicians

Practice addresses (Care Compare)

4645 Samuell Blvd
Dallas, TX 75228-6826
Phone (214) 743-6159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82314TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

4701 Samuell Blvd
Dallas, TX 75228
Phone (214) 381-7070

4645 Samuell Blvd
Dallas, TX 75228
Phone (214) 275-7393

Organizations & group practices 2

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1184383283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MANDEVILLE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944145",
            "telephone_number": "146-936-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SAMUELL BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286826",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Mandeville Dr",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944145",
            "country_code": "US",
            "telephone_number": "146-936-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANOKWUTE",
        "first_name": "VINCENT",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "82314",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.