Active NPI
Prince Ene-Ojo Etuh
- Counselor
- Plainfield, IN
National Provider Identifier
1518895630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MATS-5308
- Practice address
- 3652 Newberry Rd
Plainfield, IN 46168-7366 - Phone
- (317) 220-2209
- NPI assigned
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MATS-5308 | IN | Primary |
Addresses
Primary practice location
3652 Newberry Rd
Plainfield, IN 46168-7366
Mailing address
3652 Newberry Rd
Plainfield, IN 46168-7366
Phone (317) 220-2209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-4874217 | Other | IN | CERTIFICATE OF AN ORGANIZATION |
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 |
|---|---|---|---|
| MATS-5308 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1518895630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3652 NEWBERRY RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461687366",
"telephone_number": "317-220-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3652 NEWBERRY RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461687366",
"telephone_number": "317-220-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETUH",
"first_name": "PRINCE",
"middle_name": "ENE-OJO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "IN",
"license": "MATS-5308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF AN ORGANIZATION",
"identifier": "93-4874217",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.