OMOTOLA IYABO JOHNSON PMHNP BC
NPI 1639756760
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Q: What is Omotola Johnson's NPI number?

The NPI number for Omotola Johnson is 1639756760. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Omotola Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Omotola Johnson was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2021PECOS Enrolled

2420 FANNIN ST, HOUSTON, TX 77002(832) 831-3651(832) 831-3652 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Mar 25, 2021 (2 updates tracked since 2021).

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About Omotola Iyabo Johnson Pmhnp Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOTOLA IYABO JOHNSON PMHNP BC (NPI 1639756760) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1032755) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639756760

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOTOLA IYABO JOHNSONCredential: PMHNP BC

Location Address2420 FANNIN STHouston, TX 77002-9114

Mailing Address2420 Fannin StHouston, TX 77002-9114 · (832) 831-3651 · Fax (832) 831-3652

Phone(832) 831-3651

Fax(832) 831-3652

Sole ProprietorYes

Enumeration DateMarch 25, 2021

Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1639756760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1032755

2420 FANNIN ST, Houston, TX 77002

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omotola Iyabo Johnson Pmhnp Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH J TAYLOR

Counselor

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (866) 470-4134

INTEGRATED COMMUNITY CARE NETWORK LLC

Psychiatry & Neurology (Psychiatry)

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (281) 687-3413

DEBORAH DENISSE LOPEZ LCSW

Social Worker (Clinical)

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (866) 470-4134

NATIONAL TRANSIT SERVICES, INC.

Transportation Network Company

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (281) 702-1512

ANTIOCH HOME HEALTH INC.

Home Health

2420 FANNIN ST, SUITE 1-A
HOUSTON, TX 77002

Harris County (713) 663-7131

NATIONAL SMART HEALTHCARE SERVICES, INC

Counselor (Mental Health)

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (866) 470-4134

LENIA FARRA JOHN APRN

Nurse Practitioner (Psychiatric/Mental Health)

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (713) 334-4134

AMANDA PAIGE CHERRY LCSW

Social Worker (Clinical)

2420 FANNIN ST
HOUSTON, TX 77002

Harris County (713) 334-4134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omotola Johnson's NPI number?

The NPI number for Omotola Johnson is 1639756760. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Omotola Johnson located?

Omotola Johnson practices at 2420 Fannin St, Houston, TX 77002. The listed phone number is (832) 831-3651.

What is Omotola Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Omotola Johnson enrolled in Medicare?

Yes. Omotola Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omotola Johnson was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.