Active NPI
Belita Ahunna Proctor, LCPC
- Professional Counselor
- College Park, MD
National Provider Identifier
1427369214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3004
- Practice address
- 4920 Niagara Road
Suite 308
College Park, MD 20740-1103 - Phone
- (301) 439-7191
- Fax
- (301) 439-1169
- NPI assigned
- Jun 25, 2010
- Last updated
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00090096 | ||
| Professional Counselor | 101YP2500X | LC3004 | MD | Primary |
Addresses
Primary practice location
4920 Niagara Road
Suite 308
College Park, MD 20740-1103
Mailing address
4920 Niagara Road
Suite 308
College Park, MD 20740-1103
Phone (301) 439-7191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12121882 | Other | CAQH | |
| 321207600 | Medicaid | MD |
Other names 1
- Miss Belita Ahunna Onyeso
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 |
|---|---|---|---|
| LC3004 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- belitaproctor@tdh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1427369214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 NIAGARA ROAD",
"address_2": "SUITE 308",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207401103",
"telephone_number": "301-439-7191",
"fax_number": "301-439-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 NIAGARA ROAD",
"address_2": "SUITE 308",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207401103",
"telephone_number": "301-439-7191",
"fax_number": "301-439-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "BELITA",
"middle_name": "AHUNNA",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": "00090096",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12121882",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321207600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BELITA",
"last_name": "ONYESO",
"middle_name": "AHUNNA",
"prefix": "MISS",
"credential": "CRC, MS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in College Park, MD
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- Prudent Medical Associates LLC (Prudent Medical Associates)
- Cecile Punzalan, MD MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.