Omoike Eric Aizenofe, M.DIV. BCC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

145 W Pioneer Pkwy Apt 2022
Grand Prairie, TX 75051-4977

Phone

(325) 232-4205

NPI assigned

Jul 27, 2024

Last updated

Jul 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creators Mind Cares4Us

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1043049208
  NPD Authorized official

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1982433132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530513",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750530513",
            "telephone_number": "325-232-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W PIONEER PKWY APT 2022",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514977",
            "telephone_number": "325-232-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIZENOFE",
        "first_name": "OMOIKE",
        "middle_name": "ERIC",
        "credential": "M.DIV. BCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pastoral Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pastoral Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.