Allie Chinyere Nwosu, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717002034 Issued in VA

Practice address

89 Clay St
Fayetteville, WV 25840-5459

Phone

(904) 398-7015

NPI assigned

Jun 6, 2018

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1982196887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CLAY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258405459",
            "telephone_number": "304-894-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CLAY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258405459",
            "telephone_number": "904-398-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "ALLIE",
        "middle_name": "CHINYERE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New River Health Association, Inc. (New River Health Fayetteville Pharmacy)
• New River Ranch Inc
• New Riverranch
• Ryan D Newell, D.O.
• Debra W Nichol, RPH
• James William Odell
• Heather Rayan Pack, LPC, ALPS, NCC, AADC
• Sharon Pack, P.T.
• Carl Parsons
• Patrick Jarrell

• Marriage & Family Therapist in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Marriage & Family Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.