Ebere Ejike-Ilechukwu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1014892 Issued in TX

Practice address

1919 S Shiloh Rd Ste 525
Garland, TX 75042-8247

Phone

(763) 222-5419

NPI assigned

Oct 13, 2020

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Female

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 TX, MN2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardinal Support LLCGroup PAC ID 0840626800, 3 clinicians

Diamond Lake Clinic, P.C.Group PAC ID 8022324664, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebere.ejike-ilechukwu.1@32670.direct.athenahealth.com

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.

• Accessible Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Wylie, TX
  • NPI 1558145573

  MN

  Medicare reassignment NPD Authorized official
• Cardinal Support LLC

  dba Ease Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1699312314

  TX

  Medicare reassignment Care Compare group NPD
• Diamond Lake Clinic, P.C.

  • Health Service Clinic/Center
  • Minneapolis, MN
  • NPI 1740669498
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN, Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Pec Medical Consulting, PLLC

  • Adult Medicine Physician
  • Duncanville, TX
  • NPI 1508574369
  NPD

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1295333268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 BREEZY BAY CT",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S SHILOH RD STE 525",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428247",
            "telephone_number": "763-222-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 E President George Bush Hwy",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823561",
            "country_code": "US",
            "telephone_number": "469-204-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Wheatland Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164628",
            "country_code": "US",
            "telephone_number": "972-982-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EJIKE-ILECHUKWU",
        "first_name": "EBERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-08-30",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1014892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ujunma Ifeyinwa Egwim, PHARMD
• Peace U Ehigitor
• Jessica Ehrenreich, BCBA
• Taylor Rae Ehrlich
• Sara Ehsani, DDS
• Chinyere C Ejikeme
• Comfort S Ekpenyong
• Felicia Eno Ekpo, D.O.
• Justina Ekworomadu
• El Camino Health and Wellness Center

• Psychiatric/Mental Health Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.