Gifty Ama Acheampong, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI 1356989339 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1356989339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 04044908 (TX)
- Practice address
- 5900 Balcones Dr Ste 100
Austin, TX 78731-4298 - Phone
- (325) 237-3581
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adam S Butera MD PA
Practice addresses (Care Compare)
1714 10TH St
Wichita Falls, TX 76301-5011
Phone (940) 766-4482
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200708000268 | TX | Practitioner - Nurse Practitioner | 8325461486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04044908 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremiah 29:11 Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Jesse Gorley, M.D., PLLC | Current |
Accepting new patients | |
| Adam S. Butera MD PA | Current |
Accepting new patients | |
| Foundations of Texoma Enterprises, PA | Past | Accepting new patients |
Locations
5900 Balcones Dr
Ste 100
Austin, TX 78731
1714 10th St
Wichita Falls, TX 76301
Phone (940) 322-1075
1411 9th St
Wichita Falls, TX 76301
Phone (940) 247-0338
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 04044908 | TX | Yes |
Addresses
Primary practice location
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (325) 237-3581
Other providers in Austin, TX
- Ace Medical Pharmacy
- Acessa Health Inc.
- Sara Alejandra Acevedo
- Steven J Acevedo
- Danielle M Ach
- Eric M. Acheson
- Achilles Foot and Ankle Specialists PLLC
- Beauty Uzoma Achonye
- Kimberly Achorn
- Amy Acker
All providers in Austin, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.