Emmanuella A Edekobi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

75722 Issued in NM

Practice address

525 N Sam Houston Pkwy E Ste 172B
Houston, TX 77060-4137

Phone

(678) 591-9024

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA, VA, AZ4 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 4

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emmanuella.edekobi.1@24259.direct.athenahealth.com

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.

• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  Medicare reassignment Care Compare group NPD
• Connections Healthva, LLC

  • Psychiatric Residential Treatment Facility
  • Woodbridge, VA
  • NPI 1316673841
  Medicare reassignment
• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment
• Connections Healthva, LLC

  • Adult Mental Health Clinic/Center
  • Woodbridge, VA
  • NPI 1023791993
  NPD
• Connections Healthva, LLC

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1932882800
  NPD
• Connectionswa, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kirkland, WA
  • NPI 1558042234
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1528849494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 SAN FELIPE ST STE 320-5621",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E STE 172B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604137",
            "telephone_number": "678-591-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEKOBI",
        "first_name": "EMMANUELLA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-02-14",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "75722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Eddings, M.D.
• Eddins Counseling Group, PLLC
• Rachel Leigh Eddins, LPC
• Eeva Edds
• Ifeyinwa Christine Edeki, M.D.
• Mark H. Edelman, M.D.
• Alexander Edelmann, DDS
• Alvin Edelstein, M.D.
• David William Edelstein, MD
• Edem Non Emergency Medical Transportation

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.