Active NPI
Stephen T Adika
- Mental Health Counselor
- Cordova, TN
National Provider Identifier
1699412403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5822
- Practice address
- 1161 Sara CV Apt 4
Cordova, TN 38016-5806 - Phone
- (732) 640-7812
- NPI assigned
- May 14, 2022
- Last updated
- May 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5822 | TN | Primary |
Addresses
Primary practice location
1161 Sara CV Apt 4
Cordova, TN 38016-5806
Mailing address
1161 Sara CV Apt 4
Cordova, TN 38016-5806
Phone (732) 640-7812
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652486400000",
"number": "1699412403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 SARA CV APT 4",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165806",
"telephone_number": "732-640-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 SARA CV APT 4",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165806",
"telephone_number": "732-640-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIKA",
"first_name": "STEPHEN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-14",
"last_updated": "2022-05-14",
"certification_date": "2022-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.