Individual provider Active NPI

Solomon Soroibe Okwueze, PMHNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • Colonial Heights, VA
National Provider Identifier
1700554763
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182575 Issued in VA
Practice address
3611 Boulevard
Colonial Heights, VA 23834-1344
Phone
(804) 547-9564
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 0024182575 VA Primary

Addresses

Primary practice location

3611 Boulevard
Colonial Heights, VA 23834-1344

Mailing address

3611 Boulevard
Colonial Heights, VA 23834-1344
Phone (804) 967-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NY, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220124000048 DC Practitioner - Nurse Practitioner 7618369794 Reassigns benefits to 2 organizations
I20221102003403 VA Practitioner - Nurse Practitioner 7618369794 Practice locations: Moseley, VA
I20221202002777 NY Practitioner - Nurse Practitioner 7618369794 Reassigns benefits to 1 organization
Practice locations: West Hempstead, NY
I20250711001300 CA Practitioner - Nurse Practitioner 7618369794 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024182575VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince May 23, 2025 Accepting new patients
Metro Treatment of Virginia LP CurrentSince Feb 28, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 7, 2025 Accepting new patients
Rapha Medical Psych Services CurrentSince Jun 8, 2025 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 24, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

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

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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, 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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1700554763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341344",
            "telephone_number": "804-967-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341344",
            "telephone_number": "804-547-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUEZE",
        "first_name": "SOLOMON",
        "middle_name": "SOROIBE",
        "credential": "PMHNP-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.