Individual provider Active NPI

Eunice Onyinye Nsofor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1821577354
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP139789 Issued in TX
Practice address
733 Highway 287 N Ste 403
Mansfield, TX 76063-3865
Phone
(469) 225-3670
Fax
(817) 549-7630
NPI assigned
Aug 6, 2018
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 AP139789 TX Primary

Addresses

Primary practice location

733 Highway 287 N Ste 403
Mansfield, TX 76063-3865

Mailing address

733 Highway 287 N Ste 403
Mansfield, TX 76063-3865
Phone (469) 225-3670

Other identifiers 1

IdentifierTypeStateIssuer
1821577354MedicaidTX

Other names 1

  • Onyinye Eunice Nsofor Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mansfield Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190108003454 TX Practitioner - Nurse Practitioner 7416293675 Reassigns benefits to 3 organizations
I20200820001673 NM Practitioner - Nurse Practitioner 7416293675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Elevation Counseling LLCGroup PAC ID 6507209236, 19 clinicians

Practice addresses (Care Compare)

1209 Mountain Rd PL NE
Albuquerque, NM 87110-7845
Phone (468) 225-3670

6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

733 Hwy 287 N
Suite 403
Mansfield, TX 76063-3865
Phone (469) 225-3670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139789TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Apr 23, 2020 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Sep 1, 2019 Accepting new patients
Elevation Counseling, LLC Psychiatric/Mental Health CurrentSince Jan 24, 2024 Accepting new patients
Healing Hope Behavioral Clinic LLC Psychiatric/Mental Health CurrentSince May 28, 2020 Accepting new patients
Counseling World, LLC Past Accepting new patients

Locations

1209 Mountain Road Pl NE
Ste 4642
Albuquerque, NM 87110
Phone (468) 225-3670

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

2201 N Collins St
Ste 180
Arlington, TX 76011
Phone (817) 233-3452

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

733 Highway 287 N
Ste 403
Mansfield, TX 76063
Phone (469) 225-3670

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 5

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1821577354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 403",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633865",
            "telephone_number": "469-225-3670",
            "fax_number": "817-549-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 403",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633865",
            "telephone_number": "469-225-3670",
            "fax_number": "817-549-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSOFOR",
        "first_name": "EUNICE",
        "middle_name": "ONYINYE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821577354",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mansfield",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "733 Highway 287 N Ste 403",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760633865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ONYINYE",
            "last_name": "NSOFOR",
            "middle_name": "EUNICE",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.