NPIMap

Individual provider Active NPI

Emmanuella Owobu, LCPC

  • Professional Counselor
  • Essex, MD
National Provider Identifier
1851738835
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4839 Issued in MD
Practice address
403 Eastern Blvd
Essex, MD 21221-6715
Phone
(443) 912-4612
Fax
(877) 288-4626
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4839 MD Primary

Addresses

Primary practice location

403 Eastern Blvd
Essex, MD 21221-6715

Mailing address

403 Eastern Blvd
Essex, MD 21221-6715
Phone (443) 912-4612

Other identifiers 1

IdentifierTypeStateIssuer
065881200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Future Community Health Care Services PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services Professional PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services Professional PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services Professional PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Care Services PastSince Apr 9, 2024 Accepting new patients
Bright Future Comm. Health Care SVC Professional PastSince Apr 9, 2024 Accepting new patients
Bright Future Community Health Cares Services Professional PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1851738835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "443-912-4612",
            "fax_number": "877-288-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "443-912-4612",
            "fax_number": "877-288-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOBU",
        "first_name": "EMMANUELLA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065881200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

Verify at the official NPI Registry.