Individual provider Active NPI

Stella Adachi Offodirinwa, PLMHP

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1003030149
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7518 Issued in NE
Practice address
1511 Summer Forest Dr
Sugar Land, TX 77479-6921
Phone
(402) 480-5303
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7518 NE Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1511 Summer Forest Dr
Sugar Land, TX 77479-6921

Mailing address

1511 Summer Forest Dr
Sugar Land, TX 77479-6921

Other identifiers 1

IdentifierTypeStateIssuer
1002523500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1003030149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SUMMER FOREST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SUMMER FOREST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796921",
            "telephone_number": "402-480-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFODIRINWA",
        "first_name": "STELLA",
        "middle_name": "ADACHI",
        "name_prefix": "Mrs.",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7518",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002523500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.