Individual provider Active NPI

Obioha Collins Unaeze, MA, LPC, NCC

  • Professional Counselor
  • Portage, MI
National Provider Identifier
1154758787
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013193 Issued in MI
Practice address
5250 Lovers LN Ste 200
Portage, MI 49002-1579
Phone
(800) 676-0423
NPI assigned
Sep 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 6401013193 MI Primary

Addresses

Primary practice location

5250 Lovers LN Ste 200
Portage, MI 49002-1579

Mailing address

5250 Lovers LN Ste 200
Portage, MI 49002-1579
Phone (800) 676-0423

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013193MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Michigan Behavioral Health Past Accepting new patients

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1154758787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LOVERS LN STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021579",
            "telephone_number": "800-676-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LOVERS LN STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021579",
            "telephone_number": "800-676-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNAEZE",
        "first_name": "OBIOHA",
        "middle_name": "COLLINS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.