Individual provider Active NPI

Inyang Udo-Ema

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1265832331
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-16539 Issued in AZ
Practice address
5112 S 6TH St
Phoenix, AZ 85040-2291
Phone
(480) 744-3288
NPI assigned
Aug 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-16539 AZ Primary
Counselor 101Y00000X LAC-13859 AZ

Addresses

Primary practice location

5112 S 6TH St
Phoenix, AZ 85040-2291

Mailing address

5112 S 6TH St
Phoenix, AZ 85040-2291
Phone (480) 744-3288

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

LicenseStateTypeSpecialty
LAC-13859AZMDCounselor
LPC-16539AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryse Therapeutic Counseling LLC Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: inyang.udoemalpc.p1@direct.terros.nextgenshare.com

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1265832331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 S 6TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402291",
            "telephone_number": "480-744-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 S 6TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402291",
            "telephone_number": "480-744-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDO-EMA",
        "first_name": "INYANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16539",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-13859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.