EDMONDSON CHUKWUEZI
NPI 1619830163
Counselor - Addiction (Substance Use Disorder) in Needham, MA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Edmondson Chukwuezi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Needham, MA 02492
- Reassigned Medicare billing, Massachusetts enrollment
- 240 clinicians in this Medicare group
Stoneham, MA 02180
- Reassigned Medicare billing, Massachusetts enrollment
- 66 clinicians in this Medicare group
Braintree, MA 02184
- Reassigned Medicare billing, Massachusetts enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEEDHAM, MA 02492
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.
Which organizations bill Medicare for Edmondson Chukwuezi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmondson Chukwuezi reassigns Medicare benefits to 3 organizations: Supportive Behavioral Care Of Ma LLC (Needham, MA), Supportive Behavioral Care Of Mass LLC (Stoneham, MA) and Sunshine Behavioral Healthcare PLLC (Braintree, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmondson Chukwuezi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edmondson Chukwuezi accept?
Health plans from Harvard Pilgrim Health Care list Edmondson Chukwuezi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Edmondson Chukwuezi · NPI 1619830163
Addiction (Substance Use Disorder) provider in Needham, Massachusetts. Individual provider, active in the CMS NPPES registry since December 3, 2025.
## Identity
- **NPI:** 1619830163 (Entity type: Individual)
- **Enumerated:** December 3, 2025
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 25055 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 150 LINCOLN ST, Needham, MA 02492-2914
- **Phone:** (718) 506-1115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Supportive Behavioral Care Of Ma LLC (NPI 1780115519, Needham, MA); Supportive Behavioral Care Of Mass LLC (NPI 1932914223, Stoneham, MA); Sunshine Behavioral Healthcare PLLC (NPI 1780541920, Braintree, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619830163) · Data from the CMS NPPES public registry.