Individual provider Active NPI

Florence Oluchi Ikechukwu, PHD LCAS LCSW CS

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1457514275
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1292 Issued in NC
Practice address
1530 N Gregson St Ste 3D
Durham, NC 27701-1164
Phone
(919) 697-1385
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 1292 NC Primary

Addresses

Primary practice location

1530 N Gregson St Ste 3D
Durham, NC 27701-1164

Mailing address

1530 N Gregson St Ste 3D
Durham, NC 27701-1164
Phone (919) 697-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20110516000653 NC Practitioner - Clinical Social Worker 6901082585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Long Cir
Roanoke Rapids, NC 27870-3162
Phone (252) 535-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1292NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Life Behavioral Care LLC Non-Emergency Medical Transport (Van) CurrentSince May 11, 2010 Accepting new patients

Locations

109 Long Cir
Roanoke Rapids, NC 27870
Phone (252) 535-6400

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1457514275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N GREGSON ST STE 3D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011164",
            "telephone_number": "919-697-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N GREGSON ST STE 3D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011164",
            "telephone_number": "919-697-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKECHUKWU",
        "first_name": "FLORENCE",
        "middle_name": "OLUCHI",
        "name_prefix": "Dr.",
        "credential": "PHD LCAS LCSW CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.