Morenike Naomi Salone Olorunnisomo, LPC-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85260 Issued in TX

Practice address

2451 Stone Myers Pkwy
Grapevine, TX 76051-4782

Phone

(817) 906-1111

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 20, 2024 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Body Mind Soul Healing PLLC

  • Mental Health Counselor
  • Rowlett, TX
  • NPI 1851269864
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1780349365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 MYSTIC TRL",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750882428",
            "telephone_number": "214-616-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 STONE MYERS PKWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514782",
            "telephone_number": "817-906-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12810 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301525",
            "country_code": "US",
            "telephone_number": "469-200-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLORUNNISOMO",
        "first_name": "MORENIKE",
        "middle_name": "NAOMI SALONE",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Odeyingbo
• Shajna Charli'Z Ogbolu, RN
• Kristen M. Ogg, DO
• Valencia Monita Oglesby, DO
• Olivia Wedel Counseling & Consulting, PLLC
• Omnicell Specialty Pharmacy Services, Inc.
• Omotayo Onanuga, MD
• Oncology Pharmacy Services, Inc. (Texas Oncology Pharmacy Services - Grapevine)
• One Choice Physicians
• Meagan Oneil

• Mental Health Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.