Stanley I Nwogwugwu, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2385 Issued in MD

Practice address

575 S Charles St Ste 140
Baltimore, MD 21201-2477

Phone

(443) 873-7197

Fax

(443) 873-7198

NPI assigned

Dec 24, 2007

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

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 MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stanley.nwogwugwu.1@30113.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insightful Life Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1366025678
  Medicare reassignment NPD Authorized official
• Insightful Life Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1518399187
  NPD (past) Authorized official
• Insightful Life Therapeutic Services LLC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1689033771

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Insightful Life Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1730941329
  NPD (past) Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1033393202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S CHARLES ST STE 140",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012477",
            "telephone_number": "443-873-7197",
            "fax_number": "443-873-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S CHARLES ST STE 140",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012477",
            "telephone_number": "443-873-7197",
            "fax_number": "443-873-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGWUGWU",
        "first_name": "STANLEY",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA1914",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Thi Nwe
• Zin Min Nwe, M.D.
• Chidi Nwizu
• Confidence Nwogu-Eppie, R,N.
• Charlotte Nwogwugwu
• Ndidi Nnalu Nwokorie, MBBS
• Ngwanma Alvanis Nwokoro, CRNP-FAMILY
• Christle Nwora, MD
• Alexis Chika Nworah, M.D.
• Chinwe I Nwosu-Blair, M.D.

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.