Active NPI
Chidozie Kenneth Urom
- Mental Health Counselor
- Tigard, OR
National Provider Identifier
1124739180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7340 SW Hunziker Rd Ste 215
Tigard, OR 97223-2304 - Phone
- (503) 778-0787
- NPI assigned
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7340 SW Hunziker Rd Ste 215
Tigard, OR 97223-2304
Mailing address
17602 NE Clackamas Ter
Portland, OR 97230-6378
Phone (971) 219-6198
Other practice location 1
1300 John Adams St
Oregon City, OR 97045-1695
Phone (503) 778-0787
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1124739180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17602 NE CLACKAMAS TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306378",
"telephone_number": "971-219-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 SW HUNZIKER RD STE 215",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232304",
"telephone_number": "503-778-0787"
}
],
"practiceLocations": [
{
"address_1": "1300 John Adams St",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970451695",
"country_code": "US",
"telephone_number": "503-778-0787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UROM",
"first_name": "CHIDOZIE",
"middle_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.