Chantelle Ezinne Okoye, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-21227 Issued in AZ

Practice address

28370 N Gold LN
San Tan Valley, AZ 85143-6059

Phone

(480) 720-3393

NPI assigned

Feb 2, 2023

Last updated

Dec 30, 2024By the provider in NPPES

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 identifiers 1

Other names 1

• Chantelle Ezinne Oguadimma Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angel Family Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • San Tan Valley, AZ
  • NPI 1104475763
  NPD
• Family Service Agency

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1255538732
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1740986553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28370 N GOLD LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436059",
            "telephone_number": "480-720-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28370 N GOLD LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436059",
            "telephone_number": "480-720-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "CHANTELLE",
        "middle_name": "EZINNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-21227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171379",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTELLE",
            "last_name": "OGUADIMMA",
            "middle_name": "EZINNE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Essence Nowak-Satterwhite
• Caroline Bitutu Nyakweba, FNP
• O.Serrano, M.D. PLLC
• Megan O'Neal, LCSW
• Michael Patrick Oconnor, M.D.
• Josie Gemarie de Leon Oliva, DDS
• Charity Olson
• Zachary Michael Richard Oneal, CPED.
• Opal Horizons LLC
• Holly Openshaw

• Counselor in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.