Individual provider Active NPI

Harrison Udensi Igwe, PHD, MA, MPA, CAADC,

  • Addiction (Substance Use Disorder) Counselor
  • Ann Arbor, MI
National Provider Identifier
1881118206
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6451016044 Issued in MI
Practice address
522 S Maple Rd
Ann Arbor, MI 48103-3837
Phone
(734) 585-7970
Fax
(734) 585-7977
NPI assigned
Jul 27, 2017
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6451016044 MI Primary

Addresses

Primary practice location

522 S Maple Rd
Ann Arbor, MI 48103-3837

Mailing address

522 S Maple Rd
Ann Arbor, MI 48103-3837
Phone (734) 585-7970

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
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6451016044MIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1881118206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S MAPLE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033837",
            "telephone_number": "734-585-7970",
            "fax_number": "734-585-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S MAPLE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033837",
            "telephone_number": "734-585-7970",
            "fax_number": "734-585-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWE",
        "first_name": "HARRISON",
        "middle_name": "UDENSI",
        "name_prefix": "Dr.",
        "credential": "PHD, MA, MPA, CAADC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6451016044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.