Shola Alice Owoyemi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277.004880 Issued in IL

Practice address

5875 N Lincoln Ave Ste 102-3
Chicago, IL 60659-4672

Phone

(773) 552-5861

NPI assigned

Apr 10, 2023

Last updated

Mar 24, 2026By the provider in NPPES

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 IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Essential Mental Health Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1952195471

  Single Specialty

  Medicare reassignment NPD Authorized official
• Supportive Care of Illinois PC

  • Clinical Psychologist
  • Marshall, IL
  • NPI 1861199911

  Single Specialty

  Medicare reassignment NPD
• Essential Health Services 1 LLC

  • Nursing Care Agency
  • Bolingbrook, IL
  • NPI 1831906809
  NPD Authorized official
• Beth Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
  • NPI 1063193829

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1699460121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 102-3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "773-621-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 102-3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "773-552-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOYEMI",
        "first_name": "SHOLA",
        "middle_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.004880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Channing Owens, M.S.
• Sheridan V Owens, RN
• Trey Kyle Owens, PA-C
• Oluwaseun Tolulope Titilayo Owoeye, MD
• Prince Owolide
• Abena Owusu
• Dorothy Pearl Owusu, M.D
• Sloane Oxley-Hase
• Daniel Oxman
• Molly Oxman, PSYD

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.