Individual provider Active NPI

Ugochi Okonko

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1871059873
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
843611 Issued in NV
Practice address
7361 Prairie Falcon Rd Ste 110
Las Vegas, NV 89128-0824
Phone
(702) 294-0433
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 95010171 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 843611 NV Primary

Addresses

Primary practice location

7361 Prairie Falcon Rd Ste 110
Las Vegas, NV 89128-0824

Mailing address

3500 W Manchester Blvd Unit 195
Inglewood, CA 90305-4195
Phone (310) 689-9275

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ugochi.okonko@bafma.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210316002241 CA Practitioner - Nurse Practitioner 8022428044 Reassigns benefits to 2 organizations
I20230213001489 NV Practitioner - Nurse Practitioner 8022428044 Reassigns benefits to 1 organization
I20260227001861 CT Practitioner - Nurse Practitioner 8022428044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

560 Cohasset Rd
Suite 175
Chico, CA 95926-2460
Phone (530) 891-2784

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC CurrentSince Feb 15, 2023 Accepting new patients
County of Butte CurrentSince Jul 30, 2023 Accepting new patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Jul 30, 2023 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Mar 2, 2021 Accepting new patients
Healthy Minds in Harmony Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients
Mood Clinical, P. C. Psychiatric/Mental Health PastSince Jun 15, 2021 Accepting new patients
Oasis Counseling PastSince Mar 12, 2023 Accepting new patients

Locations

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1245 Farmington Ave
West Hartford, CT 06107
Phone (860) 313-0025

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1871059873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W MANCHESTER BLVD UNIT 195",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903054195",
            "telephone_number": "310-689-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280824",
            "telephone_number": "702-294-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKO",
        "first_name": "UGOCHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010171",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "843611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ugochi.okonko@bafma.org",
            "affiliation": "N",
            "address_1": "2640 Industry Way",
            "city": "Lynwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902624284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.