Individual provider Active NPI

Mercy Lokulutu

  • Psychiatric/Mental Health Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1629720966
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1071893 Issued in TX
Practice address
104 Whispering Pines Ave
Friendswood, TX 77546-4911
Phone
(713) 429-5325
Fax
(877) 255-0161
NPI assigned
Jan 18, 2022
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 1071893 TX Primary

Addresses

Primary practice location

104 Whispering Pines Ave
Friendswood, TX 77546-4911

Mailing address

104 Whispering Pines Ave
Friendswood, TX 77546-4911
Phone (713) 429-5325

Other identifiers 1

IdentifierTypeStateIssuer
2021105821OtherTXAMERICAN NURSES CREDENTIALING CENTER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.onebehavioralhealth.com Direct

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
I20220401000277 TX Practitioner - Nurse Practitioner 5395131205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

106 Whispering Pines Ave
Suite 103
Friendswood, TX 77546-6211
Phone (713) 429-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1071893TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychiatry Institute, LLC CurrentSince Jun 1, 2023 Accepting new patients
Texas Behavioral Health PLLC CurrentSince Jul 7, 2022 Accepting new patients
Kairos Medical LLC PastSince Jul 7, 2022 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

50 Briar Hollow Ln
Ste 290W
Houston, TX 77027
Phone (281) 810-7781

7505 Main St
Ste 300
Houston, TX 77030
Phone (713) 799-1129

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (713) 429-5232

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1629720966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WHISPERING PINES AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464911",
            "telephone_number": "713-429-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WHISPERING PINES AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464911",
            "telephone_number": "713-429-5325",
            "fax_number": "877-255-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKULUTU",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2021105821",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.onebehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Whispering Pines Ave",
            "city": "Friendswood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775464911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.