Individual provider Active NPI

Dadakpoye Tina Johnson, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1508603903
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0000 Issued in TX
Practice address
4606 FM 1960 Rd W Ste 430
Houston, TX 77069-1038
Phone
(936) 235-0001
Fax
(713) 766-2970
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 0000 TX Primary

Addresses

Primary practice location

4606 FM 1960 Rd W Ste 430
Houston, TX 77069-1038

Mailing address

4126 False Cypress LN
Houston, TX 77068-1131
Phone (936) 235-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241202003568 TX Practitioner - Nurse Practitioner 2466987268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4606 FM 1960 Rd W
Suite 430
Houston, TX 77069-1038
Phone (713) 766-2978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Casting Crown Psychiatry Services PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Houston Sleep and Narcolepsy PLLC CurrentSince Dec 15, 2024 Accepting new patients
All Ages Mental Health Services LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

753 N Main St
Ste C4
Cottonwood, AZ 86326

101 N 1st Ave
Ste 2325
Phoenix, AZ 85003
Phone (602) 518-5866

5040 Corporate Plaza Dr
Ste 7A
Colorado Springs, CO 80919

2728 Asbury Rd
Ste 320
Dubuque, IA 52001
Phone (563) 552-0899

820 S Riverside Dr
#1003
Iowa City, IA 52246

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

550 2nd St
Ste 259
Idaho Falls, ID 83401

4606 FM 1960 Rd W
Ste 430
Houston, TX 77069
Phone (713) 766-2970

20333 State Highway 249
Ste 200
Houston, TX 77070
Phone (281) 748-9088

819 N 49th St
Ste 322
Seattle, WA 98103

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2717/brand/21/csg/1/fhir/r4

Organizations & group practices 3

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1508603903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 FALSE CYPRESS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770681131",
            "telephone_number": "936-235-0001",
            "fax_number": "864-387-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691038",
            "telephone_number": "936-235-0001",
            "fax_number": "713-766-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DADAKPOYE",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.