Individual provider Active NPI

Oluwaferanmi Joanah Afolabi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1881011385
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1107104 Issued in TX
Practice address
19500 St Hwy 249 Ste 120
Houston, TX 77070-3027
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Mar 21, 2014
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1107104 TX Primary
Registered Nurse 163W00000X 903815 TX
Home Health Registered Nurse 163WH0200X 682451 NY

Addresses

Primary practice location

19500 St Hwy 249 Ste 120
Houston, TX 77070-3027

Mailing address

17401 W Lake Houston Pkwy Apt 7204
Humble, TX 77346-5147
Phone (281) 594-8953

Other practice location 1

17401 W Lake Houston Pkwy Apt 7204
Humble, TX 77346-5147
Phone (281) 594-8953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20230725000916 TX Practitioner - Nurse Practitioner 4385005271 Reassigns benefits to 3 organizations
I20230807000293 FL Practitioner - Nurse Practitioner 4385005271

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

19500 St Hwy 249
Suite 120
Houston, TX 77070-3027
Phone (844) 824-8775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903815TXMDRegistered Nurse
682451NYMDHome Health Registered Nurse
1107104TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Single Specialty CurrentSince Apr 24, 2023 Accepting new patients
Progressive Behavioral Health, PLLC Single Specialty CurrentSince Dec 31, 2024 Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

3547 Hendricks Ave
Jacksonville, FL 32207
Phone (904) 396-5515

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

19500 State Highway 249
Ste 120
Houston, TX 77070
Phone (281) 374-4500

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

13555 SE 36th St
Ste 110
Bellevue, WA 98006

509 Olive Way
Ste 1259
Seattle, WA 98101
Phone (206) 624-5355

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.oluwaferanmiafolabi@136732.advancedmd-direct.com

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, 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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1881011385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 W LAKE HOUSTON PKWY APT 7204",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465147",
            "telephone_number": "281-594-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 ST HWY 249 STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703027",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17401 W Lake Houston Pkwy Apt 7204",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773465147",
            "country_code": "US",
            "telephone_number": "281-594-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFOLABI",
        "first_name": "OLUWAFERANMI",
        "middle_name": "JOANAH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1107104",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "903815",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "682451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.