Individual provider Active NPI

Joy Ego Chidi, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1477044337
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24462 Issued in NC
Practice address
2321 Crabtree Blvd
Raleigh, NC 27604-3048
Phone
(919) 848-9108
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24462 NC Primary

Addresses

Primary practice location

2321 Crabtree Blvd
Raleigh, NC 27604-3048

Mailing address

7424 Brighton Village Dr
Raleigh, NC 27616-8633
Phone (314) 283-2476

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
24462NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1477044337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BRIGHTON VILLAGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168633",
            "telephone_number": "314-283-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CRABTREE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043048",
            "telephone_number": "919-848-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDI",
        "first_name": "JOY",
        "middle_name": "EGO",
        "credential": "LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.