Adaeze Ezinne Durunna

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9706 Issued in CA

Practice address

1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052

Phone

(877) 412-8031

NPI assigned

Jan 18, 2019

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Wellness Together

  • Mental Health Counselor
  • Roseville, CA
  • NPI 1457111080
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1336613751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 BLUE OAKS BLVD STE 213",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787052",
            "telephone_number": "877-412-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 BLUE OAKS BLVD STE 213",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787052",
            "telephone_number": "877-412-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURUNNA",
        "first_name": "ADAEZE",
        "middle_name": "EZINNE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2019-01-18",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "9706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bessie Duran
• Michael W. Durant, MD
• Mary Katherine Durborough
• Patricia Lynn Durborough
• Shawna Durigan, MSW, LCSW
• Dustin Zierold MD, a Professional Corporation
• Sierra D Dwelle
• Dwyer & Dow, a Dental Corp.
• Thomas George Dwyer
• Linda King Dyer, M.A., CCC-A

• Mental Health Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.