Individual provider Active NPI

Rasheedat K Koleosho, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1760145460
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403785 Issued in NY
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

Updated by the provider on Jun 13, 2023

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 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, NJ3 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
I20220325001801 NY Practitioner - Nurse Practitioner 0446645543 Reassigns benefits to 3 organizations
I20240814005028 TX Practitioner - Nurse Practitioner 0446645543 Reassigns benefits to 3 organizations
I20260624004406 NJ Practitioner - Nurse Practitioner 0446645543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osier Health PCGroup PAC ID 6507229317, 12 clinicians

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

LicenseStateTypeSpecialty
403785NYMDPsychiatric/Mental Health Nurse Practitioner
1029119TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jan 1, 2026 Accepting new patients
Nexus Physicians Services PLLC CurrentSince Feb 22, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 20, 2024 Accepting new patients
Osier Health PC Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Mental Soothe PLLC Psychiatric/Mental Health Current Accepting new patients
Rimisac Family Health NP PC CurrentSince Oct 1, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.