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Amaelo Ezeonwuka , LPC

Counselor - Professional β€’ Eugene, OR

Active NPI 1447650585 Individual Practitioner Male Practitioner
Practice location in NPPES

1075 Washington St
Eugene, OR 974014606

Call 5413212278 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1075 Washington St

Eugene, OR 974014606

Telephone 5413212278
Organization at the Same NPPES Address or Phone
Arise Counseling Service, Llc. Dba Northlight Counseling Facility NPI 1447715834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amaelo Ezeonwuka has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amaelo Ezeonwuka as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eugene and Oregon

216 active clinicians are listed under Counselor - Professional with a practice address in Eugene, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

3.7% of these 216 clinicians have the CMS telehealth indicator.

24.1% of these 216 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-25
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C8404
Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250424000313

Enrollment State Jurisdiction

OR

PECOS Control ID

9032635974

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Elisabeth Goldenberg , MSW, QMHP

Social Worker - Clinical

NPI 1801924253

Master of Social Work, Qualified Mental Health Professional

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 25, 2024

Registered at 1075 WASHINGTON ST, EUGENE, OR 974014606 (Tel: 5413212278)

πŸ‘€
Provider Name / Credentials Updated September 25, 2024

Recorded as AMAELO EZEONWUKA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Counselor (license number reported to NPPES: OR C8404)

βœ…
NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2014

Registered at 550 RIVER RD, EUGENE, OR 974043212 (Tel: 5417432611)

πŸ“
Business Mailing Address (Initial Record) August 26, 2014

Registered at 1790 W 11TH AVE, EUGENE, OR 974023758 (Tel: 5416862611)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2014

Recorded as AMAELO EZEONWUKA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Counselor

🟒
Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447650585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2014
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

1790 W 11th Ave

Eugene, OR 974023758

Phone: 5416862611

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.