Individual provider Active NPI

Kofi Omane, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Encino, CA
National Provider Identifier
1548935299
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95017886 Issued in CA
Practice address
15760 Ventura Blvd Ste 800
Encino, CA 91436-3018
Phone
(888) 588-8995
NPI assigned
Aug 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 95017886 CA Primary

Addresses

Primary practice location

15760 Ventura Blvd Ste 800
Encino, CA 91436-3018

Mailing address

15760 Ventura Blvd Ste 800
Encino, CA 91436-3018
Phone (888) 588-8995

Other practice location 1

90 S Kyrene Rd Ste 4
Chandler, AZ 85226-4687
Phone (602) 837-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95017886CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Psychiatric/Mental Health PastSince Aug 28, 2021 Accepting new patients
Foresight Mental Health Group PLLC Psychiatric/Mental Health PastSince Aug 17, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kofi.omane.1@25119.direct.athenahealth.com

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": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1548935299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363018",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363018",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 S Kyrene Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852264687",
            "country_code": "US",
            "telephone_number": "602-837-4233",
            "fax_number": "480-300-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMANE",
        "first_name": "KOFI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.