Chioma Chidimma Ihecukwu Anago

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT122836 Issued in CA

Practice address

400 Oyster Point Blvd Ste 501
South San Francisco, CA 94080-7600

Phone

(650) 886-4080

NPI assigned

Mar 15, 2019

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1538628987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CALLAHAM WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553387",
            "telephone_number": "909-587-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OYSTER POINT BLVD STE 501",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807600",
            "telephone_number": "650-886-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGO",
        "first_name": "CHIOMA",
        "middle_name": "CHIDIMMA IHECUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC8852",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT122836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sacramento",
            "affiliation": "Y",
            "affiliationName": "Aspiranet",
            "address_1": "400 Oyster Point Blvd Ste 501",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940807600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.