Individual provider Active NPI

Oritsegbubemi Delphine Uwaifo, LPC, NCC,CCMHC, CPCS

  • Mental Health Counselor
  • East Point, GA
National Provider Identifier
1417243171
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC007157 Issued in GA
Practice address
1185 Cleveland Ave
East Point, GA 30344
Phone
(404) 477-8846
Fax
(404) 559-0347
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC007157 GA Primary

Addresses

Primary practice location

1185 Cleveland Ave
East Point, GA 30344

Mailing address

5036 Snapfinger Woods Dr Ste 201
Decatur, GA 30035-4039
Phone (770) 695-7475

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
LPC007157GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Discount Pharmacy Inc Past Accepting new patients

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1417243171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 SNAPFINGER WOODS DR STE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354039",
            "telephone_number": "770-695-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-477-8846",
            "fax_number": "404-559-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWAIFO",
        "first_name": "ORITSEGBUBEMI",
        "middle_name": "DELPHINE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC,CCMHC, CPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.