MORENIKE NAOMI SALONE OLORUNNISOMO LPC-ASSOCIATE
NPI 1780349365
Counselor - Mental Health in Grapevine, TX

Active since November 08, 2021Opted out of Medicare · through Feb 20, 2028
2451 STONE MYERS PKWY, GRAPEVINE, TX 76051(817) 906-1111 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Morenike Naomi Salone Olorunnisomo Lpc-associate NPPES

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

MORENIKE NAOMI SALONE OLORUNNISOMO LPC-ASSOCIATE (NPI 1780349365) is an individual mental health provider in Grapevine, Texas, licensed in Texas (85260) and active in the NPI registry since November 2021. She has opted out of Medicare through February 20, 2028 and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1780349365
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMORENIKE NAOMI SALONE OLORUNNISOMOCredential: LPC-ASSOCIATE
Location Address2451 STONE MYERS PKWYGrapevine, TX 76051-4782
Mailing Address2410 Mystic TrlRowlett, TX 75088-2428 · (214) 616-0084
Sole ProprietorYes
Enumeration DateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1780349365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 85260
2451 STONE MYERS PKWY, Grapevine, TX 76051

Secondary Practice Location 1

Location 112810 Hillcrest RdDallas, TX 75230-1525 · Phone (469) 200-3419

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Morenike Naomi Salone Olorunnisomo Lpc-associate has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024
Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Counselor
2451 STONE MYERS PKWY
GRAPEVINE, TX 76051
Counselor (Mental Health)
2451 STONE MYERS PKWY
GRAPEVINE, TX 76051

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 Morenike Olorunnisomo's NPI number?

The NPI number for Morenike Olorunnisomo is 1780349365. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Morenike Olorunnisomo located?

Morenike Olorunnisomo practices at 2451 Stone Myers Pkwy, Grapevine, TX 76051. The listed phone number is (817) 906-1111.

What is Morenike Olorunnisomo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Morenike Olorunnisomo enrolled in Medicare?

No. Morenike Olorunnisomo has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Morenike Olorunnisomo was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.