Active NPI
Carolina Egbe Njikam, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP025650
- Practice address
- 630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331 - Phone
- (267) 471-6240
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025650 | PA | Primary |
Addresses
Primary practice location
630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331
Mailing address
630 Freedom Business Ctr Dr Ste 300-3756
King of Prussia, PA 19406-1331
Phone (267) 471-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4 Park PLZ
Suite 105B
Reading, PA 19610-1398
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025650 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Single Specialty | Current | Accepting new patients |
| Mind and Harmony Mental Health & Wellness LLC | Single Specialty | Current | Accepting new patients |
Locations
630 Freedom Business Ctr Dr
Ste 3003756
King of Prussia, PA 19406
Phone (267) 471-6240
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
70 Buckwalter Rd
Ste 900
Royersford, PA 19468
4 Park Plz
Ste 105B
Wyomissing, PA 19610
Phone (610) 890-6746
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.
-
- Adult Mental Health Clinic/Center
- King of Prussia, PA
- NPI 1841068541
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1306574819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 FREEDOM BUSINESS CTR DR STE 300-3756",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061331",
"telephone_number": "267-471-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 FREEDOM BUSINESS CTR DR STE 300-3756",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061331",
"telephone_number": "267-471-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBE NJIKAM",
"first_name": "CAROLINA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.