Shanta Ogwe, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

20103A Issued in NC

Practice address

120 W Water St Apt B
Plymouth, NC 27962-1306

Phone

(405) 200-2157

NPI assigned

Dec 9, 2018

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metropolitan Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  Medicare reassignment NPD
• It'S Your Move

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1568114999

  NC

  Medicare reassignment NPD
• Metropolitan Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Plymouth, NC
  • NPI 1326627399
  NPD
• Metropolitan Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1891590444
  NPD
• It'S Your Move

  • Counselor
  • Columbia, SC
  • NPI 1396214987
  NPD (past)

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1598236093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W WATER ST APT B",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621306",
            "telephone_number": "405-200-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W WATER ST APT B",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621306",
            "telephone_number": "405-200-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGWE",
        "first_name": "SHANTA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myung Kil Jeon, M.D.
• Ncti and Human Services
• Ncti Human Services
• Kayla Nowarah
• Chang Y Oak, MD
• Oneals Family Practice PLLC
• Oneals of Plymouth Inc
• Oneals of Plymouth Inc
• Sarah Mayfield Overholt, RD, LDN
• Jean Louis Pare, MD

• Marriage & Family Therapist in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.