EMMANUEL OGHENEKARO ETUKE JR. LCPC
NPI 1114516093
Counselor - Addiction (Substance Use Disorder) in Woodbridge, VA

Q: What is Emmanuel Etuke's NPI number?

The NPI number for Emmanuel Etuke is 1114516093. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Q: What is Emmanuel Etuke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Etuke was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2021PECOS Enrolled

2750 KILLARNEY DR STE 100, WOODBRIDGE, VA 22192(202) 809-3928 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Mar 4, 2024, May 26, 2022 and 1 more (4 updates tracked since 2021).

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About Emmanuel Oghenekaro Etuke Jr. Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL OGHENEKARO ETUKE JR. LCPC (NPI 1114516093) is an individual addiction (substance use disorder) provider in Woodbridge, Virginia, licensed in Maryland (LC14862) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114516093

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameEMMANUEL OGHENEKARO ETUKE JR.Credential: LCPC

Location Address2750 KILLARNEY DR STE 100Woodbridge, VA 22192-4124

Mailing Address2750 Killarney Dr Ste 100Woodbridge, VA 22192-4124 · (202) 809-3928

Phone(202) 809-3928

Sole ProprietorNo

Enumeration DateJanuary 14, 2021

Last NPPES UpdateApril 17, 20244 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1114516093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MD · LC14862

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC14862 (MD)

2750 KILLARNEY DR STE 100, Woodbridge, VA 22192

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuel Oghenekaro Etuke Jr. Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Etuke's NPI number?

The NPI number for Emmanuel Etuke is 1114516093. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Emmanuel Etuke located?

Emmanuel Etuke practices at 2750 Killarney Dr Ste 100, Woodbridge, VA 22192. The listed phone number is (202) 809-3928.

What is Emmanuel Etuke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Emmanuel Etuke enrolled in Medicare?

Yes. Emmanuel Etuke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuel Etuke was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.