Individual provider Active NPI

Sonia Ike, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1730689605
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1076989 Issued in TX
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(972) 301-8044
NPI assigned
Feb 17, 2018
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 1076989 TX Primary
Registered Nurse 163W00000X 923306 TX

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

927 Cedar Ridge Dr
Desoto, TX 75115-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, KS, MN, NY, OR, WA, ND, MA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20220920000027 TX Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 2 organizations
I20230213001825 MO Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 2 organizations
I20250319000128 KS Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization
I20250620002555 MN Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 2 organizations
I20260123003467 NY Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization
I20260130002239 OR Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization
I20260130003551 WA Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization
I20260312000708 ND Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization
I20260316003855 MA Practitioner - Nurse Practitioner 3577948025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
923306TXMDRegistered Nurse
10614MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Premier Mental Health PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
North Central Missouri Mental Health Center CurrentSince Jun 18, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 17, 2025 Accepting new patients
Carver County CurrentSince Jul 1, 2025 Accepting new patients
North Central Missouri Mental Health Center CurrentSince Jun 18, 2024 Accepting new patients
Lina Mental Health Current Accepting new patients
Grow Healthcare Group of Kansas PA Psychiatric/Mental Health CurrentSince Dec 17, 2025 Accepting new patients

Locations

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

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

1601 E 28th St
Trenton, MO 64683
Phone (660) 359-4487

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

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

5900 Balcones Dr
Ste 100
Austin, TX 78731

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

6233 Evers Rd
Ste 1
San Antonio, TX 78238
Phone (210) 386-6643

6609 Blanco Rd
Ste 145
San Antonio, TX 78216
Phone (210) 342-2299

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 7

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": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1730689605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CEDAR RIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "972-301-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "SONIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1076989",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "923306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.