Prince U Uzuka, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

26064 Issued in NC

Practice address

3709 Nash St NW
Wilson, NC 27896-1127

Phone

(185) 540-5144

NPI assigned

Dec 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Time & Chance Therapy Center

  • Addiction (Substance Use Disorder) Counselor
  • Benson, NC
  • NPI 1255059457
  NPD Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1114523008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MERRIMAR CT",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275046065",
            "telephone_number": "185-540-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 NASH ST NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961127",
            "telephone_number": "185-540-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZUKA",
        "first_name": "PRINCE",
        "middle_name": "U",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Visions Healthcare II, Inc,
• United Visions Healthcare II, Inc.
• Unity Grace Living LLC
• Urgent Cares of America North Carolina Inc
• Ijeoma Agnes Uwakwe, PHARM.D
• Amy Van Vooren, P.A.
• Valerie Vanderbeek, M.S., CCC-A
• Laci Jo Vanderboegh, MSN, FNP-C
• Varun Vankeshwaram, M.D.
• Lana Smith Vanstory, MPAS, PA-C

• Addiction (Substance Use Disorder) Counselor in Wilson, NC
• Providers in Wilson, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.