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EDMONDSON CHUKWUEZI
NPI 1619830163
Counselor - Addiction (Substance Use Disorder) in Needham, MA

Active since December 03, 2025PECOS EnrolledAccepts Medicare Assignment
150 LINCOLN ST, NEEDHAM, MA 02492(718) 506-1115 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmondson Chukwuezi NPPES

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

EDMONDSON CHUKWUEZI (NPI 1619830163) is an individual addiction (substance use disorder) provider in Needham, Massachusetts, licensed in Massachusetts (25055) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619830163
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDMONDSON CHUKWUEZI
Location Address150 LINCOLN STNeedham, MA 02492-2914
Mailing Address51 Saveena DrAttleboro, MA 02703-6063 · (781) 760-0917
Phone(718) 506-1115
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1619830163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 25055
150 LINCOLN ST, Needham, MA 02492
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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 and accepts Medicare assignment

Edmondson Chukwuezi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618454752
PECOS Enrollment IDI20260121000908
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.

MELISSA LEVY
Social Worker (Clinical)
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (718) 506-1115
NEEDHAM REHABILITATION & NURSING CENTER LLC
Skilled Nursing Facility
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (781) 449-4040
MRS. DIANE M LUCA PTA
Physical Therapy Assistant
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (781) 449-4040
LISA RYAN OTR/L
Occupational Therapist
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (401) 225-2767
MICHELLE FRANCINE CALLAHAN
Social Worker (Clinical)
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (732) 712-2215
BRIARWOOD OPERATOR, LLC
Skilled Nursing Facility
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (781) 449-4040
ERIN MICHELLE SHEEHAN
Social Worker (Clinical)
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (732) 712-2215
MRS. GIRA PRAJAPATI P.T.
Physical Therapist
150 LINCOLN ST
NEEDHAM, MA 02492
Norfolk County (774) 999-9054

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 Edmondson Chukwuezi's NPI number?

The NPI number for Edmondson Chukwuezi is 1619830163. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Where is Edmondson Chukwuezi located?

Edmondson Chukwuezi practices at 150 Lincoln St, Needham, MA 02492. The listed phone number is (718) 506-1115.

What is Edmondson Chukwuezi's specialty?

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

Is Edmondson Chukwuezi enrolled in Medicare?

Yes. Edmondson Chukwuezi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edmondson Chukwuezi was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.