ESEMUEDE HENRY IDADA (NPI# 1992346811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992346811 |
| Entity Type | Individual |
| Full Name | ESEMUEDE HENRY IDADA |
| Practice Address |
520 Dudley St Boston MA 02119-2769 |
| Practice Telephone | 6174456655 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| 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 |
520 DUDLEY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02119-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241156 | Pamela Sue Aulis | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2020-10-05 |
| 1396379905 | Gano Hasanbegovic | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2020-02-24 |
| 1073144085 | Karmen Jackson | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2020-01-29 |
| 1922640028 | Brianna S Gayden | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2019-10-10 |
| 1982245627 | Nadeen M Correia-gomes | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2019-10-03 |
| 1275174294 | Lawanda Mcclorin | Community Health Worker | 520 Dudley St, Boston, MA 02119-2769 | 2019-10-01 |
| 1295376440 | Zoe Turner | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2019-09-30 |
| 1609423631 | Gabrielle Mikorenda | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2019-08-23 |
| 1801440805 | Michelle Cecelia Difelice | Counselor | 520 Dudley St, Boston, MA 02119-2769 | 2019-07-29 |
| 1053978783 | Carlos Lamar Lowery | Case Manager/Care Coordinator | 520 Dudley St, Boston, MA 02119-2769 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1578181871 | Victor Stewart | Counselor | 37 Copeland St Apt 3, Boston, MA 02119-2288 | 2020-07-13 |
| 1831712165 | Mona Hdeib | Counselor | 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 | 2020-05-21 |
| 1316587413 | Laurence Phillip Casey | Counselor | 63 Woolson St Apt 1, Boston, MA 02126-2072 | 2020-01-07 |
| 1487295036 | Alisa C. Ritchie | Counselor | 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 | 2019-10-04 |
| 1508412636 | Madison Lambert | Counselor | 39 Bowdoin St, Boston, MA 02114-4201 | 2019-08-14 |
| 1730748104 | Nassima Mouhoubi | Counselor | 105 Chauncy St Fl 5, Boston, MA 02111-1726 | 2019-06-10 |
| 1336622943 | James Allan Scholl | Counselor | 85 E Newton St # M912, Boston, MA 02118-2841 | 2018-09-10 |
| Find all providers in BOSTON | ||||
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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.