SIMEON SOBENNA EKUGWUM
NPI 1194369264
Counselor - Professional in Harvey, LA

Active since November 01, 2019PECOS Enrolled
2439 MANHATTAN BLVD STE 308, HARVEY, LA 70058(504) 366-5265 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Nov 1, 2019 (2 updates tracked since 2019).

About Simeon Sobenna Ekugwum NPPES

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

SIMEON SOBENNA EKUGWUM (NPI 1194369264) is an individual professional provider in Harvey, Louisiana, licensed in Louisiana (PLC9826) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194369264
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSIMEON SOBENNA EKUGWUM
Location Address2439 MANHATTAN BLVD STE 308Harvey, LA 70058-5396
Mailing Address18 Rob LnJackson, MS 39212-5927 · (601) 842-0971
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 1, 2019
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
NPI 1194369264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in LA · PLC9826
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedTransportation BrokerTaxonomy 347E00000X
2439 MANHATTAN BLVD STE 308, Harvey, LA 70058

Secondary Practice Location 1

Location 118 Rob LnJackson, MS 39212-5927 · Phone (601) 842-0971

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Simeon Sobenna Ekugwum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416435532
PECOS Enrollment IDI20260130000987
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Case Manager/Care Coordinator
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Counselor (Mental Health)
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Marriage & Family Therapist
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Case Manager/Care Coordinator
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Case Manager/Care Coordinator
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Counselor (Mental Health)
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058
Case Manager/Care Coordinator
2439 MANHATTAN BLVD STE 308
HARVEY, LA 70058

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 Simeon Ekugwum's NPI number?

The NPI number for Simeon Ekugwum is 1194369264. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Simeon Ekugwum located?

Simeon Ekugwum practices at 2439 Manhattan Blvd Ste 308, Harvey, LA 70058. The listed phone number is (504) 366-5265.

What is Simeon Ekugwum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Simeon Ekugwum enrolled in Medicare?

Yes. Simeon Ekugwum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simeon Ekugwum was last updated on September 29, 2023. 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.