Individual provider Active NPI

Solomon Igwulu

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1104372598
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN57672 Issued in DC
Practice address
1905 E St SE
Building 14
Washington, DC 20003-2593
Phone
(202) 673-9324
NPI assigned
Aug 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RN57672 DC Primary

Addresses

Primary practice location

1905 E St SE
Building 14
Washington, DC 20003-2593

Mailing address

1905 E St SE
Building 14
Washington, DC 20003-2593
Phone (202) 673-9324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN57672DCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1104372598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E ST SE",
            "address_2": "BUILDING 14",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032593",
            "telephone_number": "202-673-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E ST SE",
            "address_2": "BUILDING 14",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032593",
            "telephone_number": "202-673-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWULU",
        "first_name": "SOLOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "RN57672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.