Maureen Otemure Omoaghe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1177710 Issued in TX

Practice address

675 Lincoln Ave
Apt 12B
Brooklyn, NY 11208-4045

Phone

(347) 404-6258

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  TX

  Medicare reassignment Care Compare group
• Desoto Healthcare Clinic LLC

  • Primary Care Nurse Practitioner
  • Lewisville, TX
  • NPI 1225707342
  Medicare reassignment NPD
• Guardian Angel House Call LLC

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1487434007
  Medicare reassignment NPD
• Mind-Touch Psychiatry & Integrative Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1548961550
  Medicare reassignment NPD
• Thriveworks Clinical - Washington, PC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1063087856
  Medicare reassignment
• Mind-Touch Psychiatry & Integrative Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1457100174
  NPD
• Happy Bridge Primary Care & Home Health PLLC

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1699448209
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1962710673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 LINCOLN AVE",
            "address_2": "APT 12B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084045",
            "telephone_number": "347-404-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 LINCOLN AVE",
            "address_2": "APT 12B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084045",
            "telephone_number": "347-404-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOAGHE",
        "first_name": "MAUREEN",
        "middle_name": "OTEMURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "560143",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1177710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnicare Multi Specialty Center, LLC
• Omnicare Multi Specialty,PC
• Omnisleep LLC
• Omnui Demntal Crae, P.C.
• Enibokun Sylvia Omo-Ozigbo
• Rowlanda Ann Omoigberai, M.S.
• Eugene Omoike, M.D
• Emmanuel Babagbotemi Omole
• Adewale Omoloju, PHARM.D.
• Ekaete Sunday Omon

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.