Active NPI
Halo Springs Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HALO SPRINGS WELLNESS CENTER LLC
- Practice address
- 310 SW 4TH Ave Ste 300
Portland, OR 97204-2320 - Phone
- (678) 849-5774
- NPI assigned
- Jul 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ijeoma Jennifer Okeh
- Title
- Pmhnp
- Phone
- (678) 849-5774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
310 SW 4TH Ave Ste 300
Portland, OR 97204-2320
Mailing address
6433 Queens Court Trce
Mableton, GA 30126-7226
Phone (678) 849-5774
Other practice location 1
215 Marvin Miller Dr SW Ste 123
Atlanta, GA 30336-1813
Phone (404) 905-8963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
215 Marvin Miller Dr SW
Ste 123
Atlanta, GA 30336
Phone (404) 905-8963
310 SW 4th Ave
Ste 300
Portland, OR 97204
Phone (503) 567-8605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1578933230
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1851137665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6433 QUEENS COURT TRCE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267226",
"telephone_number": "678-849-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SW 4TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042320",
"telephone_number": "678-849-5774"
}
],
"practiceLocations": [
{
"address_1": "215 Marvin Miller Dr SW Ste 123",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303361813",
"country_code": "US",
"telephone_number": "404-905-8963",
"fax_number": "404-905-9327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HALO SPRINGS WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-02",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "OKEH",
"authorized_official_first_name": "IJEOMA",
"authorized_official_middle_name": "JENNIFER",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "678-849-5774"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.