Active NPI
Victoria Agbonma Odocha, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1086607
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086607 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cura Healthcare | Psychiatric/Mental Health | Current | Accepting new patients |
| Victorybridge Healthcare, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Southwest Family Clinic PC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Silver City, NM
- NPI 1043091853
-
- Family Medicine Physician
- Houston, TX
- NPI 1619285996
-
- Medical Specialty Clinic/Center
- Silver City, NM
- NPI 1679875926
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.