Bernard Ike Onwuemelie, LMSW, CAADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801084613 Issued in MI

Practice address

20291 Trinity St
Detroit, MI 48219-1351

Phone

(313) 753-2292

Fax

(313) 532-4608

NPI assigned

Dec 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary S Young Adults Day Care IncGroup PAC ID 0547605958, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mary S Young Adults Day Care, Inc

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1134848542
  Medicare reassignment Care Compare group NPD
• Superior D Care Inc

  • Home Health Agency
  • Westland, MI
  • NPI 1265995542
  Medicare reassignment
• Favor Homecare Inc

  • Community/Behavioral Health Agency
  • Westland, MI
  • NPI 1457741274
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397865600000",
    "number": "1295971075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20291 TRINITY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191351",
            "telephone_number": "313-753-2292",
            "fax_number": "313-532-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20291 TRINITY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191351",
            "telephone_number": "313-753-2292",
            "fax_number": "313-532-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUEMELIE",
        "first_name": "BERNARD",
        "middle_name": "IKE",
        "name_prefix": "Mr.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-26",
        "last_updated": "2014-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801084613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN",
            "identifier": "80-0-89-8408-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Star Onwenu, MD
• Janice Chiamaka Onwenu
• Latasha Damika Onwenu, MS, LLPC
• Austeen A Onwudiwe
• Ephraim I Onwuegbuchu, RPH
• Indira Onwuzurike
• Brittney Onyeador, PA
• Patvelda Onyemaizu, MA, LLPC
• Onyx and Dedicated Dental Services
• Onyx Home Health Care, LLC

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; 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.

Verify at the official NPI Registry.