Charles Nwufo, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF 70630 Issued in CA

Practice address

14338 Park Ave Ste 200
Victorville, CA 92392-2925

Phone

(760) 354-9090

NPI assigned

Aug 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1902153646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25808 SWEETLEAF ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534727",
            "telephone_number": "951-662-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14338 PARK AVE STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922925",
            "telephone_number": "760-354-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWUFO",
        "first_name": "CHARLES",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 70630",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "RI",
            "license": "3202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Nunez
• Cecily Nunez
• Jordan Elizabeth Nunez
• Regina L Nunez
• Ijeoma Obiageli Nwokenna, B.PHARM
• Brian Nyamwange, PHARMD
• Carri Lynn O'Connell
• Erica Renita O'Connor
• Chere Ann O'Grady, P.A-C
• Karen Lynne O'Rear II

• Mental Health Counselor in Victorville, CA
• Providers in Victorville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.