Individual provider Active NPI

Cordelia Ozigboh-Lee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1487925608
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP146047 Issued in TX
Practice address
141 Chapel Hill Dr
Prosper, TX 75078-8625
Phone
(469) 900-6489
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016712 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP146047 TX Primary

Addresses

Primary practice location

141 Chapel Hill Dr
Prosper, TX 75078-8625

Mailing address

141 Chapel Hill Dr
Prosper, TX 75078-8625
Phone (469) 900-6489

Other practice location 1

116 W 32nd St
8th floor
New York, NY 10001-3212
Phone (212) 564-2350

Other practice location 2

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (415) 521-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200820001890 TX Practitioner - Nurse Practitioner 4385060318 Reassigns benefits to 1 organization
I20241031000223 NY Practitioner - Nurse Practitioner 4385060318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016712CAMDPsychiatric/Mental Health Nurse Practitioner
AP146047TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health of North Texas LLP CurrentSince Oct 1, 2020 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1487925608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CHAPEL HILL DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788625",
            "telephone_number": "469-900-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHAPEL HILL DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788625",
            "telephone_number": "469-900-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 32nd St",
            "address_2": "8th floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013212",
            "country_code": "US",
            "telephone_number": "212-564-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "582 Market St Ste 1608",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045317",
            "country_code": "US",
            "telephone_number": "415-521-1506",
            "fax_number": "877-448-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZIGBOH-LEE",
        "first_name": "CORDELIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016712",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP146047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.