Active NPI
Chinenye Ikeme
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1255715611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11554
- Practice address
- 309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385 - Phone
- (919) 559-8690
- NPI assigned
- Jul 16, 2015
- Last updated
- Nov 5, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11554 | NC | Primary |
Addresses
Primary practice location
309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385
Mailing address
309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385
Phone (919) 579-7274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11554 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- chinenyeikeme@tdh.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1255715611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W MILLBROOK RD",
"address_2": "SUITE 161",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094385",
"telephone_number": "919-579-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W MILLBROOK RD",
"address_2": "SUITE 161",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094385",
"telephone_number": "919-559-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEME",
"first_name": "CHINENYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.