Individual provider Active NPI

Angela I Okotie-Eboh, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1851406573
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2011021217 Issued in TX
Practice address
2420 Fannin St
Houston, TX 77002-9114
Phone
(832) 831-3651
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 643307 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2011021217 TX Primary

Addresses

Primary practice location

2420 Fannin St
Houston, TX 77002-9114

Mailing address

16520 Steinhagen Rd
Cypress, TX 77429-7173
Phone (281) 687-3413

Other practice location 1

21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919
Phone (832) 831-3651

Other identifiers 1

IdentifierTypeStateIssuer
176076101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000936 TX Practitioner - Nurse Practitioner 0446282495 Reassigns benefits to 1 organization
Practice locations: Richmond, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21922 Bellaire Blvd
Suite 600
Richmond, TX 77407-3919
Phone (832) 831-3651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
643307TXMDNurse Practitioner
2011021217TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightway Therapy Services LLC CurrentSince Sep 12, 2022 Accepting new patients
NP Care Services Group, P.C Nurse Practitioner CurrentSince Jun 1, 2008 Accepting new patients
Vikram Mehra M.D.,P.a. PastSince May 1, 2002 Accepting new patients
Northwest Urgent Care Past Accepting new patients

Locations

2420 Fannin St
Houston, TX 77002
Phone (713) 334-4134

10039 Bissonnet St
Ste 105
Houston, TX 77036
Phone (713) 771-5571

12808 Veterans Memorial Dr
#A
Houston, TX 77014
Phone (832) 602-5114

12808 Veterans Memorial Dr
Houston, TX 77014
Phone (281) 687-3413

21922 Bellaire Blvd
Ste 600
Richmond, TX 77407
Phone (832) 402-6326

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1851406573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 STEINHAGEN RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297173",
            "telephone_number": "281-687-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029114",
            "telephone_number": "832-831-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21922 Bellaire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774073919",
            "country_code": "US",
            "telephone_number": "832-831-3651",
            "fax_number": "832-831-3652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOTIE-EBOH",
        "first_name": "ANGELA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "643307",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2011021217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176076101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.