CHARLES MBAMUKU NDUKU (NPI# 1093274417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093274417 |
Entity Type | Individual |
Full Name | CHARLES MBAMUKU NDUKU |
Practice Address |
859 Willard St Adams Place Quincy MA 02169 |
Mailing Address |
170 Mediterranean Dr Apt 19 Weymouth MA 02188-3845 |
Practice Telephone | 6177741005 |
Mailing Telephone | 7814750230 |
Enumeration Date | 2019-03-15 |
Last Update Date | 2019-03-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
859 WILLARD ST ADAMS PLACE |
City | QUINCY |
State | MA |
Zip Code | 02169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841229606 | Dalys Ann Blair | Social Worker | 859 Willard St, Suite 430, Quincy, MA 02169-7482 | 2006-07-02 |
1811510605 | Angela Mcpherson | Counselor | 859 Willard St, Quincy, MA 02169-7482 | 2020-05-27 |
1194346999 | Neysha Iris Burgos-nieves | Psychologist | 859 Willard St, Quincy, MA 02169-7482 | 2020-05-03 |
1114556339 | Madhavi Padukkavidana | Student in an Organized Health Care Education/Training Program | 859 Willard St, Quincy, MA 02169-7482 | 2020-04-08 |
1972145605 | David Crespin | Psychologist | 859 Willard St, Quincy, MA 02169-7482 | 2019-10-15 |
1083261499 | Paul Michael Messina II | Counselor | 859 Willard St, Quincy, MA 02169-7482 | 2019-08-20 |
1871148668 | Brenna Dacey Callahan | Social Worker | 859 Willard St, Quincy, MA 02169-7482 | 2019-08-07 |
1902451420 | Melted Hearts Home Care Services LLC | Home Health | 859 Willard St, Quincy, MA 02169-7482 | 2019-08-02 |
1912551516 | Annalisa Passalacqua Rekowski | Social Worker | 859 Willard St, Quincy, MA 02169-7482 | 2019-07-31 |
1841844883 | Emj Home Care Agency Inc | Home Health | 859 Willard St, Quincy, MA 02169-7482 | 2019-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
Find all providers in zip 02169 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389920 | Agnes L Denson | Counselor | 66 Kenon Ln, Quincy, FL 32352-6924 | 2019-11-06 |
1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
1225686348 | Krystal Marie Gottilla | Counselor | 48a Bay State Rd, Quincy, MA 02171-1512 | 2019-09-02 |
1346723202 | Robert Eugene Bates | Counselor | 203 Central Ave So, Quincy, WA 98848 | 2018-09-07 |
1033691100 | Hector Ismael Zavala | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2018-09-05 |
1871097220 | Maricella Salazar | Counselor | 203 South Central, Quincy, WA 98848 | 2018-03-21 |
1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
1144737636 | James Kenneth Cheatham Jr. | Counselor | 80 Quarry St Apt 3, Quincy, MA 02169-4173 | 2018-01-05 |
1831612860 | Matthew Ward | Counselor | 270 County Hospital Rd. #109, Quincy, CA 95971 | 2017-07-21 |
1982132577 | Madison Gonzalez | Counselor | 203 So. Central, Quincy, WA 98848 | 2017-05-26 |
Find all providers in QUINCY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.