Active NPI
Rasheedat K Koleosho, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403785
- Practice address
- 13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883 - Phone
- (832) 702-3702
- Fax
- (832) 234-7593
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1029119 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403785 | NY | Primary |
Addresses
Primary practice location
13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Mailing address
13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone (832) 702-3702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
169 Madison Ave
New York, NY 10016-5101
Phone (646) 814-1530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403785 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1029119 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Nexus Physicians Services PLLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Osier Health PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mental Soothe PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rimisac Family Health NP PC | Current | Accepting new patients | |
| Willow Health, Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
120 Benchley Pl
Frnt 2
Bronx, NY 10475
Phone (347) 843-7760
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530
169 Madison Ave
Ste 15906
New York, NY 10016
13810 Champion Forest Dr
Ste 150
Houston, TX 77069
Phone (281) 231-8475
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
123 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 364-0317
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1922791110
-
- Medical Physician Assistant
- Houston, TX
- NPI 1669765137
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NY, Psychiatric/Mental Health, TX
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1881212645
-
- Clinical Social Worker
- New York, NY
- NPI 1184548687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1760145460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 CHAMPION FOREST DR STE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691883",
"telephone_number": "832-702-3702",
"fax_number": "832-234-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 CHAMPION FOREST DR STE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691883",
"telephone_number": "832-702-3702",
"fax_number": "832-234-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLEOSHO",
"first_name": "RASHEEDAT",
"middle_name": "K",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2023-06-13",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1029119",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.