Active NPI
Martin Chigozie Okereke, LPC
- Professional Counselor
- Mauldin, SC
National Provider Identifier
1205670437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9860
- Practice address
- 400 S Main St Ste D
Mauldin, SC 29662-2251 - Phone
- (423) 737-2418
- NPI assigned
- Jun 21, 2024
- Last updated
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9860 | SC | Primary |
Addresses
Primary practice location
400 S Main St Ste D
Mauldin, SC 29662-2251
Mailing address
120 Luvene Dr
Williamston, SC 29697-9809
Phone (423) 737-2418
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 |
|---|---|---|---|
| 9860 | SC | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1205670437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LUVENE DR",
"city": "WILLIAMSTON",
"state": "SC",
"postal_code": "296979809",
"telephone_number": "423-737-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S MAIN ST STE D",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622251",
"telephone_number": "423-737-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEREKE",
"first_name": "MARTIN",
"middle_name": "CHIGOZIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "9860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.