Individual provider Active NPI

Kelechi N Ogbuehi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Allen, TX
National Provider Identifier
1578323671
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1141810 Issued in TX
Practice address
1203 Wilshire CT
Allen, TX 75002-8672
Phone
(469) 867-1166
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 1141810 TX Primary

Addresses

Primary practice location

1203 Wilshire CT
Allen, TX 75002-8672

Mailing address

1203 Wilshire CT
Allen, TX 75002-8672
Phone (469) 867-1166

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
I20260401001927 TX Practitioner - Nurse Practitioner 1850387416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1203 Wilshire CT
Allen, TX 75002-8672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1141810TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Psychiatry LLC Psychiatric/Mental Health CurrentSince Mar 24, 2024 Accepting new patients
Criskel Home Health, Inc. PastSince Jun 2, 2010 Accepting new patients

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1578323671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WILSHIRE CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028672",
            "telephone_number": "469-867-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WILSHIRE CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028672",
            "telephone_number": "469-867-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUEHI",
        "first_name": "KELECHI",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1141810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.