Individual provider Active NPI

Olasumbo Olubunmi Abegunde, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497458145
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.033172 Issued in IL
Practice address
4600 Lockhill Selma Rd Ste 108
San Antonio, TX 78249-2186
Phone
(833) 426-3252
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.033172 IL Primary

Addresses

Primary practice location

4600 Lockhill Selma Rd Ste 108
San Antonio, TX 78249-2186

Mailing address

2346 Upland Rd
Pingree Grove, IL 60140-6000
Phone (773) 339-4188

Other practice location 1

13508 Julie Dr
Poplar Grove, IL 61065-7829
Phone (815) 596-0098

Other practice location 2

2525 Cabot Dr Ste 300
Lisle, IL 60532-0916
Phone (888) 852-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251224000194 IL Practitioner - Nurse Practitioner 5799270088 Reassigns benefits to 2 organizations
I20260506003452 TX Practitioner - Nurse Practitioner 5799270088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Mental Wellness, PLLCGroup PAC ID 2860991627, 3 clinicians
Reasons Health, PLLCGroup PAC ID 7618314378, 5 clinicians
Andala Medical Texas PAGroup PAC ID 7416330436, 10 clinicians

Practice addresses (Care Compare)

13508 Julie Dr
Poplar Grove, IL 61065-7829
Phone (815) 209-8486

333 Commerce Dr
Suite 600
Crystal Lake, IL 60014-3598
Phone (815) 404-0595

4600 Lockhill Selma Rd
Suite 108
San Antonio, TX 78249-2186
Phone (833) 426-3252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.033172ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andala Medical Texas PA CurrentSince Apr 16, 2026 Accepting new patients
Thrive Mental Wellness, PLLC Psychiatric/Mental Health CurrentSince Oct 23, 2025 Accepting new patients
Nursetalk Mental Wellness LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Reasons Health, PLLC CurrentSince Dec 4, 2025 Accepting new patients
Compass Health Systems of Illinois, Inc Psychiatric/Mental Health PastSince Dec 1, 2025 Accepting new patients

Locations

333 Commerce Dr
Ste 600
Crystal Lake, IL 60014
Phone (779) 356-4095

13508 Julie Dr
Poplar Grove, IL 61065
Phone (815) 209-8486

4600 Lockhill Selma Rd
Ste 108
San Antonio, TX 78249
Phone (210) 783-0582

Organizations & group practices 5

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1497458145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 UPLAND RD",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601406000",
            "telephone_number": "773-339-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LOCKHILL SELMA RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492186",
            "telephone_number": "833-426-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13508 Julie Dr",
            "address_purpose": "LOCATION",
            "city": "Poplar Grove",
            "state": "IL",
            "postal_code": "610657829",
            "country_code": "US",
            "telephone_number": "815-596-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Cabot Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605320916",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABEGUNDE",
        "first_name": "OLASUMBO",
        "middle_name": "OLUBUNMI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.033172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.