Benedict C Ijomah, LCSW-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

09832 Issued in MD

Practice address

4607 69TH Ave
Hyattsville, MD 20784-2123

Phone

(301) 386-0014

Fax

(301) 386-0018

NPI assigned

Feb 16, 2011

Last updated

Feb 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Aspire Behvioral Healthcare, LLC

  • Psychiatry Physician
  • New Carrollton, MD
  • NPI 1063195949
  Medicare reassignment Authorized official
• Aspire Multispecialty Urgent Care LLC

  • General Practice Physician
  • New Carrollton, MD
  • NPI 1457142168
  NPD Authorized official

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1083911762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 69TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842123",
            "telephone_number": "301-386-0014",
            "fax_number": "301-386-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 69TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842123",
            "telephone_number": "301-386-0014",
            "fax_number": "301-386-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJOMAH",
        "first_name": "BENEDICT",
        "middle_name": "C",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "09832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ihaza
• Bede Chidi Ihuoma, LPN
• Magdaline Ijeh
• Ijomah and Associates Inc (Safe Journey Health)
• Ijomah and Associates Inc (Safe Journey Health)
• Chukwuebuka Gabriel Ilochonwu
• Bolade Sherifat Ilufoye- Ojomu
• Jami Imhof, LCSW-C
• Imind Health LLC (iMind Behavioral Health)
• Immaculate Health Care Services

• Mental Health Counselor in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.