Active NPI
Osaiyekemwen Evelyn Okunbor, MS, NCC
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1538433685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1384 Madison Ave
Memphis, TN 38104-2327 - Phone
- (901) 726-4213
- Fax
- (901) 726-4281
- NPI assigned
- Mar 6, 2012
- Last updated
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1384 Madison Ave
Memphis, TN 38104-2327
Mailing address
1435 Madison Ave
7
Memphis, TN 38104-6317
Phone (901) 337-4626
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hearts Foundation | Past | Accepting new patients | |
| The Healing Arts Research Training Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Memphis, TN
- NPI 1437405610
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Memphis, TN
- NPI 1538325717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1538433685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 MADISON AVE",
"address_2": "7",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046317",
"telephone_number": "901-337-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042327",
"telephone_number": "901-726-4213",
"fax_number": "901-726-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUNBOR",
"first_name": "OSAIYEKEMWEN",
"middle_name": "EVELYN",
"credential": "MS, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.