Individual provider Active NPI

Odira Ughanze, LPC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1093100448
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70780 Issued in TX
Practice address
1219 E South 11TH St Ste B-1
Abilene, TX 79602-4283
Phone
(325) 784-0639
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70780 TX Primary

Addresses

Primary practice location

1219 E South 11TH St Ste B-1
Abilene, TX 79602-4283

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (325) 784-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000266 TX Practitioner - Mental Health Counselor 3971021148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70780TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Regent Counseling PLLC CurrentSince Apr 10, 2025 Accepting new patients

Locations

1219 E South 11th St
Ste B1
Abilene, TX 79602
Phone (325) 266-1030

5900 Balcones Dr
Ste 100
Austin, TX 78731

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1093100448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "325-784-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E SOUTH 11TH ST STE B-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024283",
            "telephone_number": "325-784-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGHANZE",
        "first_name": "ODIRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.