Active NPI
Louisa Ugochukwu, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1306694369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1159667
- Practice address
- 906 W Cannon St Apt 100
Fort Worth, TX 76104-3052 - Phone
- (817) 886-4976
- Fax
- (866) 428-6674
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1159667 | TX | Primary |
Addresses
Primary practice location
906 W Cannon St Apt 100
Fort Worth, TX 76104-3052
Mailing address
906 W Cannon St Apt 100
Fort Worth, TX 76104-3052
Phone (817) 672-8602
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 |
|---|---|---|---|
| 1159667 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigeo Ketamine and Wellness Center, LLC | Current | Accepting new patients |
Locations
906 W Cannon St
Apt 100
Fort Worth, TX 76104
Phone (817) 634-5521
1800 Lone Oak Rd
Ste 10
Weatherford, TX 76086
Phone (817) 672-9407
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.
-
- Psychiatry Physician
- Weatherford, TX
- NPI 1912612557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1306694369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W CANNON ST APT 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043052",
"telephone_number": "817-672-8602",
"fax_number": "817-345-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W CANNON ST APT 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043052",
"telephone_number": "817-886-4976",
"fax_number": "866-428-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGOCHUKWU",
"first_name": "LOUISA",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1159667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.