Temiloluwa Oluwatoyin Ilesanmi, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024190104 Issued in VA

Practice address

24 Onville Rd Ste 201
Stafford, VA 22556-3832

Phone

(540) 698-4259

Fax

(540) 736-0264

NPI assigned

May 3, 2024

Last updated

Oct 1, 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 3

Addresses

Other names 1

• Dr. Temiloluwa Oluwatoyin Adeyehum Former name

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Mindfulvision Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, VA
  • NPI 1568284008

  DC, MD, Single Specialty

  Medicare reassignment NPD Authorized official
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  Medicare reassignment Care Compare group
• Connections Healthva, LLC

  • Psychiatric Residential Treatment Facility
  • Chantilly, VA
  • NPI 1306524285

  DC, Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Single Specialty

  Medicare reassignment NPD
• Connections Healthva, LLC

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1932882800
  NPD
• Grace Health Services LLC

  • Nurse Practitioner
  • Stafford, VA
  • NPI 1528614674

  Single Specialty

  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "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": "24 ONVILLE RD STE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563832",
            "telephone_number": "540-698-4259",
            "fax_number": "540-736-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 W Redwood St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011708",
            "country_code": "US",
            "telephone_number": "540-698-4259",
            "fax_number": "502-899-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1418 Marion Barry Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205615",
            "country_code": "US",
            "telephone_number": "540-698-4259",
            "fax_number": "540-736-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILESANMI",
        "first_name": "TEMILOLUWA",
        "middle_name": "OLUWATOYIN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190104",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1059632",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMILOLUWA",
            "last_name": "ADEYEHUM",
            "middle_name": "OLUWATOYIN",
            "prefix": "DR.",
            "credential": "DNP, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• I Am a Mind Healer Wellness Center, LLC
• Elizabeth Chinke Ichite
• Genoveva Ienco
• Ifaith Home Healthcare Solution
• Iheart Support Services
• Impact Dental Care Stafford PLLC
• In Place Health Providers LLC
• Inara Health Services
• Infiniti Global Solutions
• Melanie Ingraham

• Psychiatric/Mental Health Nurse Practitioner in Stafford, VA
• Providers in Stafford, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.