Individual provider Active NPI

Oluwatobi Faith Adeleke, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Conroe, TX
National Provider Identifier
1194472233
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
1070812 Issued in TX
Practice address
1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239
Phone
(936) 661-3038
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 878388 TX
Registered Nurse 163W00000X 67675 NM
Psychiatric/Mental Health Registered Nurse 163WP0808X 1070812 TX Primary

Addresses

Primary practice location

1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239

Mailing address

1915 N Frazier St Ste 102F14
Conroe, TX 77301-1239
Phone (936) 661-3038

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420000337 TX Practitioner - Nurse Practitioner 6406243518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1915 N Frazier St
Suite 102F14
Conroe, TX 77301-1239
Phone (936) 661-3038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
67675NMMDRegistered Nurse
878388TXMDRegistered Nurse
1070812TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Single Specialty CurrentSince Jul 25, 2022 Accepting new patients
Leadingedge Behavioural Health and Services PLLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1915 N Frazier St
Ste 102F14
Conroe, TX 77301
Phone (936) 661-3038

704 Longmire Rd
Conroe, TX 77304
Phone (936) 441-1525

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1194472233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102F14",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "936-661-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102F14",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "936-661-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKE",
        "first_name": "OLUWATOBI",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "878388",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "67675",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1070812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.