Active NPI
Patrick Iheanacho Nwachukwu
- Mental Health Counselor
- Middleboro, MA
National Provider Identifier
1851089825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2OI511Q1I
- Practice address
- 94 S Main St
Middleboro, MA 02346-2123 - Phone
- (774) 456-2743
- NPI assigned
- Apr 27, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2OI511Q1I | MA | Primary |
Addresses
Primary practice location
94 S Main St
Middleboro, MA 02346-2123
Mailing address
94 S Main St
Middleboro, MA 02346-2123
Phone (774) 456-2743
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 |
|---|---|---|---|
| 2OI511Q1I | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1851089825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 S MAIN ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462123",
"telephone_number": "774-456-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 S MAIN ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462123",
"telephone_number": "774-456-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWACHUKWU",
"first_name": "PATRICK",
"middle_name": "IHEANACHO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "2OI511Q1I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.