Active NPI
Audrei Onome Egbudin, CDCA
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1043087836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058 - Phone
- (513) 347-0375
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 185844 | OH | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058
Mailing address
908 Main St Apt 1
Covington, KY 41011-2123
Phone (616) 350-8834
Other practice location 1
6100 Channingway Blvd Ste 605
Columbus, OH 43232-2999
Phone (614) 626-8538
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185844 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1043087836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 MAIN ST APT 1",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112123",
"telephone_number": "616-350-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 MUDDY CREEK RD STE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382058",
"telephone_number": "513-347-0375"
}
],
"practiceLocations": [
{
"address_1": "6100 Channingway Blvd Ste 605",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432322999",
"country_code": "US",
"telephone_number": "614-626-8538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGBUDIN",
"first_name": "AUDREI",
"middle_name": "ONOME",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "185844",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.