Active NPI
Omnipotent Health Services
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1467087106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- OMNIPOTENT HEALTH SERVICES
- Doing business as
- Omnipotent Health Services
- Practice address
- 3442 W Paradise Dr
Phoenix, AZ 85029-2239 - Phone
- (602) 750-3356
- NPI assigned
- Mar 3, 2020
- Last updated
- Mar 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Opuroku, MA LPC
- Title
- Therapist
- Phone
- (602) 750-3356
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | NU | ||
| School Counselor | 101YS0200X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| School Social Worker | 1041S0200X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | ||
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
3442 W Paradise Dr
Phoenix, AZ 85029-2239
Mailing address
2825 E Wagoner Rd
Phoenix, AZ 85032-8829
Phone (602) 750-3356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L20894295 | Medicaid | AZ |
Other names 1
- Omnipotent Health Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | j_opuroku@yahoo.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1467087106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E WAGONER RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850328829",
"telephone_number": "602-750-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 W PARADISE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850292239",
"telephone_number": "602-750-3356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNIPOTENT HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A",
"authorized_official_last_name": "OPUROKU",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "602-750-3356",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L20894295",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "j_opuroku@yahoo.com",
"affiliation": "N",
"address_1": "3442 W Paradise Dr",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850292239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Omnipotent Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.