Organization Active NPI

Omnipotent Health Services

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1467087106
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
John Opuroku, MA LPCNPI 1700433091
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
L20894295MedicaidAZ

Other names 1

  • Omnipotent Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL j_opuroku@yahoo.com

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.