Individual provider Active NPI

Victoria Agbonma Odocha, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1316635626
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1086607 Issued in TX
Practice address
3003 S Loop W Ste 555
Houston, TX 77054-1378
Phone
(202) 413-2078
Fax
(713) 433-6708
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1086607 TX Primary

Addresses

Primary practice location

3003 S Loop W Ste 555
Houston, TX 77054-1378

Mailing address

3003 S Loop W Ste 555
Houston, TX 77054-1378
Phone (202) 413-2078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240607002262 NM Practitioner - Nurse Practitioner 5395094171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1086607TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Healthcare Psychiatric/Mental Health CurrentSince Apr 30, 2024 Accepting new patients
Victorybridge Healthcare, LLC Psychiatric/Mental Health CurrentSince Feb 4, 2025 Accepting new patients
Southwest Family Clinic PC CurrentSince Sep 24, 2023 Accepting new patients
Okay Harold Odocha MD PC Current Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

1720 E 32nd St
Silver City, NM 88061
Phone (202) 413-2078

3003 S Loop W
Ste 555
Houston, TX 77054
Phone (713) 433-4536

17211 W Grand Pkwy S
Ste L2
Sugar Land, TX 77479

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Organizations & group practices 4

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1316635626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541378",
            "telephone_number": "202-413-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541378",
            "telephone_number": "202-413-2078",
            "fax_number": "713-433-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOCHA",
        "first_name": "VICTORIA",
        "middle_name": "AGBONMA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1086607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.