Individual provider Active NPI

Amarachi Okafor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1861182735
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018074 Issued in NC
Practice address
3625 N Elm St Ste 130
Greensboro, NC 27455-2604
Phone
(704) 360-3637
Fax
(980) 939-8769
NPI assigned
May 12, 2023
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 5018074 NC Primary

Addresses

Primary practice location

3625 N Elm St Ste 130
Greensboro, NC 27455-2604

Mailing address

23134 Bradford Green SQ
Cary, NC 27519-9220

Other practice location 1

7540 Ramble Way
Raleigh, NC 27616-4317
Phone (919) 457-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241112000522 NC Practitioner - Nurse Practitioner 8921532169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018074NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Asheli Thompson PastSince Jun 23, 2015 Accepting new patients

Locations

10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930

2530 Meridian Pkwy
Ste 115
Durham, NC 27713

3625 N Elm St
Ste 130
Greensboro, NC 27455

122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.amarachiokafor@146232.advancedmd-direct.com

Organizations & group practices 2

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1861182735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23134 BRADFORD GREEN SQ",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "704-360-3637",
            "fax_number": "980-939-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 Ramble Way",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276164317",
            "country_code": "US",
            "telephone_number": "919-457-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "AMARACHI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.