Individual provider Active NPI

Temiloluwa Oluwatoyin Ilesanmi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1699522854
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1059632 Issued in DC
Practice address
1818 New York Ave NE
Washington, DC 20002-1848
Phone
(202) 800-6440
Fax
(202) 899-6994
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1059632 DC Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0024190104 VA

Addresses

Primary practice location

1818 New York Ave NE
Washington, DC 20002-1848

Mailing address

15 Wheelwright LN
Stafford, VA 22554-8833
Phone (307) 220-0677

Other practice location 1

188 Onville Rd
Stafford, VA 22556-3805
Phone (888) 887-6867

Other names 1

  • Temiloluwa Oluwatoyin Adeyehum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240907000550 DC Practitioner - Nurse Practitioner 0345780151 Reassigns benefits to 3 organizations
I20241209003759 VA Practitioner - Certified Clinical Nurse Specialist (CNS) 0345780151 Reassigns benefits to 2 organizations
I20250718004221 MD Practitioner - Nurse Practitioner 0345780151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1901 E Franklin St
Suite 108
Richmond, VA 23223-6966
Phone (855) 284-7483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024190104VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Healthva, LLC Single Specialty CurrentSince Sep 23, 2025 Accepting new patients
Connections Healthva, LLC CurrentSince Sep 23, 2025 Accepting new patients
Grace Health Services LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Jul 19, 2024 Accepting new patients
Mindfulvision Psychiatry LLC Single Specialty CurrentSince Oct 9, 2024 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1418 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 796-5000

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 N Charles St
Ste 1904
Baltimore, MD 21201
Phone (307) 220-0677

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

188 Onville Rd
Stafford, VA 22556
Phone (540) 645-4777

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 6

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1699522854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WHEELWRIGHT LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548833",
            "telephone_number": "307-220-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-800-6440",
            "fax_number": "202-899-6994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Onville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225563805",
            "country_code": "US",
            "telephone_number": "888-887-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILESANMI",
        "first_name": "TEMILOLUWA",
        "middle_name": "OLUWATOYIN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1059632",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMILOLUWA",
            "last_name": "ADEYEHUM",
            "middle_name": "OLUWATOYIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.