Chioma Igboegwu, PHD, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-27116 Issued in NC

Practice address

1365 Westgate Center Dr. Unit - 2
Winston-Salem, NC 27103

Phone

(336) 473-7172

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Chioma Ihuoma Igboegwu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spring Life Behavioral Care LLC

  • Non-emergency Medical Transport (VAN)
  • Roanoke Rapids, NC
  • NPI 1316265614
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1568046852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR. UNIT - 2",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-473-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR. UNIT - 2",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-473-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOEGWU",
        "first_name": "CHIOMA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIOMA",
            "last_name": "IGBOEGWU",
            "middle_name": "IHUOMA",
            "prefix": "DR.",
            "credential": "PHD CLINPSY. LCAS-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Idm Solutions
• Janet Lenora Idol, FNP-C
• Oreoluwa Idowu
• Itohan Igbinigie, MA, CCC-SLP
• Theodore Osarumwense Igbinigie, MD
• Fulfilled Iwosa Ighalo, MD
• Emmanuelar Onyinyechukwu Igweonu-Nwakile, MD
• Obinna Ikwechegh, MD
• Adebola Omolara Ilesanmi, FNP
• Illumii

• Addiction (Substance Use Disorder) Counselor in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.