EMMANUEL OGHENEKARO ETUKE JR. LCPC
NPI 1114516093
Counselor - Addiction (Substance Use Disorder) in Woodbridge, VA
NPI Status: Active since January 14, 2021
Contact Information
2750 KILLARNEY DR STE 100
WOODBRIDGE, VA
ZIP 22192
Phone: (202) 809-3928
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
- PECOS Enrolled
About EMMANUEL ETUKE
This page provides the complete NPI Profile along with additional information for Emmanuel Etuke, a provider established in Woodbridge, Virginia with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1114516093 assigned on January 2021. The practitioner's primary taxonomy code is 101YA0400X with license number LC14862 (MD). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1114516093
- Provider Name
- EMMANUEL OGHENEKARO ETUKE JR. LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2750 KILLARNEY DR STE 100 WOODBRIDGE, VA 22192
- Location Phone
- (202) 809-3928
- Mailing Address
- 2750 KILLARNEY DR STE 100 WOODBRIDGE, VA 22192
- Mailing Phone
- (202) 809-3928
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-14-2021
- Last Update Date
- 04-17-2024
- Code Navigator
A Substance Abuse or Addiction Counselor like Emmanuel Etuke advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC14862
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | LC14862 (MD) |
Medicare Participation & PECOS Enrollment Status
Emmanuel Etuke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for EMMANUEL OGHENEKARO ETUKE JR. LCPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 1 | 6 | 0 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 1 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 1 + 1 + 2 + 0 + 1 + 8 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1114516093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114516093, enumerated in the NPI registry as an "individual" on January 14, 2021
The provider is located at 2750 Killarney Dr Ste 100 Woodbridge, Va 22192 and the phone number is (202) 809-3928
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on January 14, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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