Organization Active NPI

Beacon Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1265398812
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEACON MENTAL HEALTH AND WELLNESS PLLC
Practice address
903 E Laburnum Ave
Richmond, VA 23222-2210
Phone
(686) 202-4641
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Tola Oluwafunke Akinbobola, PMHNPNPI 1316824279
Title
Nurse Practitioner
Phone
(686) 202-4641

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

903 E Laburnum Ave
Richmond, VA 23222-2210

Mailing address

6601 Autumn Mist Way
Chesterfield, VA 23832-8490
Phone (686) 202-4641

National Provider Directory

National Provider Directory

Locations

903 E Laburnum Ave
Richmond, VA 23222
Phone (686) 202-4641

Practitioners & affiliated clinicians

Practitioners 1

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": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1265398812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 AUTUMN MIST WAY",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328490",
            "telephone_number": "686-202-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222210",
            "telephone_number": "686-202-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON MENTAL HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "AKINBOBOLA",
        "authorized_official_first_name": "TOLA",
        "authorized_official_middle_name": "OLUWAFUNKE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "686-202-4641",
        "authorized_official_credential": "PMHNP"
    },
    "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 Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.