Individual provider Active NPI

Benjamin Nkiru Okolo

  • Addiction (Substance Use Disorder) Counselor
  • Inglewood, CA
National Provider Identifier
1003054974
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
323 N Prairie Ave Ste 315
Inglewood, CA 90301-4505
Phone
(310) 673-4117
Fax
(310) 673-4118
NPI assigned
Jan 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

323 N Prairie Ave Ste 315
Inglewood, CA 90301-4505

Mailing address

323 N Prairie Ave Ste 315
Inglewood, CA 90301-4505
Phone (310) 673-4117

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1003054974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE STE 315",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014505",
            "telephone_number": "310-673-4117",
            "fax_number": "310-673-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE STE 315",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014505",
            "telephone_number": "310-673-4117",
            "fax_number": "310-673-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "BENJAMIN",
        "middle_name": "NKIRU",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.