Japhet Okey Ifejoku, COUNSELOR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

085764 Issued in CA

Practice address

3540 Wilshire Blvd
Suite 818
Los Angeles, CA 90010-2307

Phone

(213) 383-1124

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Immaculate Care Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1275669871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013136092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 818",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "310-505-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 818",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "213-383-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEJOKU",
        "first_name": "JAPHET",
        "middle_name": "OKEY",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "085764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADAC",
            "identifier": "085764",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ADP NUMBER",
            "identifier": "190479AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soha Darwish Idriss, M.D.
• Luiza Idrissova
• Ie Surgical, Inc
• Ievolve Transformational Services
• Miriam Nwobiara Ifegwu
• Ifeoma S Izuchukwu MD, a Prof Med Corp
• Chantal Tami Ifrah, MFT INTERN
• Igal Elyassi, D.D.S., Inc.
• Shahrokh Iganej, MD
• Teryn Igawa

• Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.