Individual provider Active NPI

Chinedu Oko Nwogburu, LPC

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1891982013
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004260 Issued in VA
Practice address
825 Crawford Pkwy
Portsmouth, VA 23704-2301
Phone
(757) 391-6581
Fax
(757) 391-6560
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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 0701004260 VA Primary

Addresses

Primary practice location

825 Crawford Pkwy
Portsmouth, VA 23704-2301

Mailing address

5540 Maple Cluster CT
Virginia Beach, VA 23462-7195
Phone (757) 391-6581

Other identifiers 1

IdentifierTypeStateIssuer
0701004260OtherVABOARD OF COUNSELING

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

LicenseStateTypeSpecialty
0701004260VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1891982013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 MAPLE CLUSTER CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627195",
            "telephone_number": "757-391-6581",
            "fax_number": "757-391-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CRAWFORD PKWY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042301",
            "telephone_number": "757-391-6581",
            "fax_number": "757-391-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGBURU",
        "first_name": "CHINEDU",
        "middle_name": "OKO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELING",
            "identifier": "0701004260",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.