Individual provider Active NPI

Favour Onwukwe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • League City, TX
National Provider Identifier
1619641107
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1032194 Issued in TX
Practice address
190 Gulf Fwy S Ste 132B2
League City, TX 77573-3588
Phone
(832) 643-4549
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 1032194 TX Primary

Addresses

Primary practice location

190 Gulf Fwy S Ste 132B2
League City, TX 77573-3588

Mailing address

190 Gulf Fwy S Ste 132B2
League City, TX 77573-3588
Phone (832) 643-4549

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
I20220324001824 TX Practitioner - Nurse Practitioner 7113312349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1350 Nasa Pkwy
Suite 203
Houston, TX 77058-3165
Phone (281) 694-4758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gob Behavioral Health PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1350 Nasa Pkwy
Ste 203
Houston, TX 77058
Phone (281) 694-4758

190 Gulf Fwy S
Ste 132B2
League City, TX 77573
Phone (832) 643-4549

8030 FM 1765
Ste G102
Texas City, TX 77591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25264/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1619641107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GULF FWY S STE 132B2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733588",
            "telephone_number": "832-643-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GULF FWY S STE 132B2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733588",
            "telephone_number": "832-643-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUKWE",
        "first_name": "FAVOUR",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1032194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.