Active NPI
Folukemi B Olawepo, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1326749177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1113020
- Practice address
- 6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454 - Phone
- (800) 950-0026
- Fax
- (702) 952-5257
- NPI assigned
- Mar 16, 2023
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1113020 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61474799 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 296264 | AZ |
Addresses
Primary practice location
6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454
Mailing address
6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454
Phone (800) 950-0026
Other practice location 1
705 E Broad St Ste 101
Mansfield, TX 76063-6914
Phone (682) 556-6779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296264 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1113020 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61474799 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikkadesh Mental Healthcare LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Graceland Psychiatric and Neuromodulation Center PLLC | Current | Accepting new patients |
Locations
2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1518548262
-
- Psychiatric/Mental Health Nurse Practitioner
- Puyallup, WA
- NPI 1063120020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1326749177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 BANDERA RD STE 200E",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381454",
"telephone_number": "800-950-0026",
"fax_number": "702-952-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 BANDERA RD STE 200E",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381454",
"telephone_number": "800-950-0026",
"fax_number": "702-952-5257"
}
],
"practiceLocations": [
{
"address_1": "705 E Broad St Ste 101",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760636914",
"country_code": "US",
"telephone_number": "682-556-6779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLAWEPO",
"first_name": "FOLUKEMI",
"middle_name": "B",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1113020",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61474799",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "296264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.