Chinedu Augustus Akubudike, MA
Individual provider Active NPI Mental Health Counselor · Riverdale, MD
NPI 1942515960 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1942515960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4404 Queensbury Rd Ste 210
Riverdale, MD 20737-1068 - Phone
- (240) 422-2532
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4404 Queensbury Rd
Riverdale, MD 20737-1068
Phone (301) 851-5828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613002563 | DC | Practitioner - Mental Health Counselor | 1052730686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C& a Behavioral Health Services LLC | Current | Accepting new patients | |
| C & a Behaviorial Health Services LLC | Current |
Accepting new patients |
Locations
4404 Queensbury Rd
Ste 210
Riverdale Park, MD 20737
Phone (240) 422-2532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4404 Queensbury Rd Ste 210
Riverdale, MD 20737-1068
Mailing address
4404 Queensbury Rd Ste 210
Riverdale, MD 20737-1068
Phone (240) 422-2532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | MD | MENTAL HEALTH COUNSELOR |
Other providers in Riverdale, MD
- Sheriece K Akindipe
- Adenike Akindolire
- Bolanle Doris Akinnusi
- Godwin Akiri
- Brenda A Akom
- Folefac Alemanji
- Belinda Aloh II
- Helena Ogonna Amadi
- Charles Amakor
- America Medical Equipment Supply, Inc.
All providers in Riverdale, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.