Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edmondson Chukwuezi

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619830163

Edmondson Chukwuezi is a Mental Health Counselor in Needham, Massachusetts. Qualified in 2024, 2 years ago. Practices with Supportive Behavioral Care of Mass LLC, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025

Practice location Address checks out

150 Lincoln St
Needham, MA 02492-2914
Phone: (718) 506-1115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25055 (MA)

Record details

NPI number1619830163
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address51 Saveena Dr, Attleboro, MA 02703-6063

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Supportive Behavioral Care Of Mass Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Needham