Individual provider Active NPI

John Ihueze Iheoma

  • Mental Health Counselor
  • Landover, MD
National Provider Identifier
1245976398
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
211111835 Issued in MD
Practice address
8700 Central Ave Ste 300
Landover, MD 20785-4853
Phone
(443) 857-9193
Fax
(240) 619-4916
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 211111835 MD Primary

Addresses

Primary practice location

8700 Central Ave Ste 300
Landover, MD 20785-4853

Mailing address

8700 Central Ave Ste 300
Landover, MD 20785-4853
Phone (144) 385-7919

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
211111835MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JTC Behavioral Health Services PastSince May 1, 2022 Accepting new patients
JTC Behavioral Health Services Mental Health PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1245976398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 300",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "144-385-7919",
            "fax_number": "240-619-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 300",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "443-857-9193",
            "fax_number": "240-619-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEOMA",
        "first_name": "JOHN",
        "middle_name": "IHUEZE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "211111835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.