Active NPI
Edewor Bernaed Osevwe, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202205752NP-PP
- Practice address
- 6302 Broadway St Ste 130
Pearland, TX 77581-7859 - Phone
- (832) 438-0330
- NPI assigned
- Jun 16, 2011
- Last updated
- Apr 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1061917 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202205752NP-PP | OR | Primary |
Addresses
Primary practice location
6302 Broadway St Ste 130
Pearland, TX 77581-7859
Mailing address
6302 Broadway St Ste 130
Pearland, TX 77581-7859
Phone (832) 438-0330
Other practice location 1
10350 N Vancouver Way
Portland, OR 97217-7530
Phone (832) 438-0330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043103013 | Other | IL | BLUE CROSS BLUE SHIELD |
| 2009039423 | Medicaid | MO | |
| 043103013 | Medicaid | IL |
Other names 1
- Mr. Edewor Bernard Osevwe
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edewor.osevwe@va.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR, AZ, WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6302 Broadway St
Suite 130
Pearland, TX 77581-7859
Phone (832) 882-8017
9896 Bissonnet St
Suite 210
Houston, TX 77036-8104
9896 Bissonnet St
Suite 510
Houston, TX 77036-8156
Phone (832) 776-4488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Region MH Mr Community Center | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Holy Trinity Behavioral Health | Current | Accepting new patients | |
| US Multi-Specialty Group | Psychiatric/Mental Health | Current | Accepting new patients |
| Bee Focus Iop, LLC | Current | Accepting new patients | |
| Enlighten Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Solid Foundation Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Enlighten Psychiatry, PLLC | Current | Accepting new patients | |
| Bee Focus Transportation LLC | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1500 NE Irving St
Ste 210
Portland, OR 97232
Phone (425) 477-4215
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
4295 San Felipe St
Ste 205B
Houston, TX 77027
Phone (346) 530-7608
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
9896 Bissonnet St
Ste 510
Houston, TX 77036
Phone (832) 570-3506
6302 Broadway St
Ste 130
Pearland, TX 77581
Phone (281) 485-0820
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 11
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.
-
- Adult Mental Health Clinic/Center
- Houston, TX
- NPI 1699239483
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1750195756
-
- Psychiatric/Mental Health Nurse Practitioner
- Pearland, TX
- NPI 1801535414
AZ, CA
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, Psychiatric/Mental Health, TX, WA
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
OR, Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pearland, TX
- NPI 1497543318
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
OR
-
- Psychiatry Physician
- Houston, TX
- NPI 1982432100
-
- Internal Medicine Physician
- Round Rock, TX
- NPI 1619526902
Psychiatric/Mental Health
-
- Secured Medical Transport (VAN)
- Houston, TX
- NPI 1497443428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1386939429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6302 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817859",
"telephone_number": "832-438-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817859",
"telephone_number": "832-438-0330"
}
],
"practiceLocations": [
{
"address_1": "10350 N Vancouver Way",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972177530",
"country_code": "US",
"telephone_number": "832-438-0330",
"fax_number": "832-318-6133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSEVWE",
"first_name": "EDEWOR",
"middle_name": "BERNAED",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1061917",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202205752NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "043103013",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009039423",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043103013",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edewor.osevwe@va.gov",
"affiliation": "N",
"endpointDescription": "edewor.osevwe@va.gov",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "edewor.osevwe@va.gov",
"address_1": "3 Garden Springs Ct",
"address_2": "Manvel",
"city": "Manvel",
"state": "TX",
"country_code": "US",
"postal_code": "775782639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EDEWOR",
"last_name": "OSEVWE",
"middle_name": "BERNARD",
"prefix": "MR.",
"credential": "NP BEN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.