Individual provider Active NPI

Oluchi Gloria Onebunne, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1902578503
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61509525 Issued in WA
Practice address
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone
(206) 708-6432
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1056002 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61509525 WA Primary

Addresses

Primary practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0581

Other practice location 1

4408 Emerald Leaf Dr
Mansfield, TX 76063-5544
Phone (310) 844-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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
I20211207000850 TX Practitioner - Nurse Practitioner 4082004098 Reassigns benefits to 1 organization
I20250604004232 WA Practitioner - Nurse Practitioner 4082004098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1056002TXMDPsychiatric/Mental Health Nurse Practitioner
AP61509525WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Aug 8, 2022 Accepting new patients
Oluchi Gloria Onebunne NP in Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Millenia LLC CurrentSince Oct 20, 2024 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Dec 7, 2025 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince May 23, 2025 Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

9450 Skillman St
Ste 105
Dallas, TX 75243
Phone (210) 239-9136

1020 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 330-2424

752 N Main St
Unit 128
Mansfield, TX 76063

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

Organizations & group practices 5

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1902578503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194292",
            "telephone_number": "206-708-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4408 Emerald Leaf Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635544",
            "country_code": "US",
            "telephone_number": "310-844-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONEBUNNE",
        "first_name": "OLUCHI",
        "middle_name": "GLORIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP1056002",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61509525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.