Susan Hazel Ongombe

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P015976 Issued in NC

Practice address

118 Kramer CT
Cary, NC 27511-6652

Phone

(919) 633-1218

NPI assigned

Mar 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• MBS Restorative Centre PLLC

  • Clinic/Center
  • Cary, NC
  • NPI 1679075824
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1669059150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 SLOPESIDE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276100001",
            "telephone_number": "919-903-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KRAMER CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116652",
            "telephone_number": "919-633-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGOMBE",
        "first_name": "SUSAN",
        "middle_name": "HAZEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P015976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oncohost Inc.
• One Stop Pharmacy, Inc.
• One Vision Care Services Inc.
• Kevin Daniel Oneal, M.D., PH.D
• Ones Journey to Counseling and Wellness PLLC
• Chloe Ooka
• Ruby Oommen
• Dolapo Funmilayo Opebiyi, NP
• Lauren F Oppenheim
• Optimal Imaging

• Mental Health Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.