Active NPI
Chizoba Udo Okolie-Enwereji
- Mental Health Counselor
- Norfolk, VA
National Provider Identifier
1346079134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704017184
- Practice address
- 223 E City Hall Ave Ste 404
Norfolk, VA 23510-1736 - Phone
- (202) 813-7634
- NPI assigned
- Jul 30, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704017184 | VA | Primary |
Addresses
Primary practice location
223 E City Hall Ave Ste 404
Norfolk, VA 23510-1736
Mailing address
223 E City Hall Ave Ste 404
Norfolk, VA 23510-1736
Phone (202) 813-7634
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 |
|---|---|---|---|
| 0704017184 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1346079134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 E CITY HALL AVE STE 404",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101736",
"telephone_number": "202-813-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 E CITY HALL AVE STE 404",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101736",
"telephone_number": "202-813-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLIE-ENWEREJI",
"first_name": "CHIZOBA",
"middle_name": "UDO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704017184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.