Active NPI
Theodore-Joel U Oparah, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1811339351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10143
- Practice address
- 2633 West Blvd
Charlotte, NC 28208-6705 - Phone
- (704) 521-4977
- NPI assigned
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10143 | NC | Primary |
Addresses
Primary practice location
2633 West Blvd
Charlotte, NC 28208-6705
Mailing address
2633 West Blvd
Charlotte, NC 28208-6705
Phone (704) 521-4977
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10143 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1811339351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 WEST BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282086705",
"telephone_number": "704-521-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 WEST BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282086705",
"telephone_number": "704-521-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPARAH",
"first_name": "THEODORE-JOEL",
"middle_name": "U",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.