Individual provider Active NPI

Carolina Egbe Njikam, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1306574819
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025650 Issued in PA
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

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230107000115 PA Practitioner - Nurse Practitioner 9537539572 Reassigns benefits to 2 organizations
Practice locations: King of Prussia, PA

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

LicenseStateTypeSpecialty
SP025650PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Single Specialty CurrentSince Dec 22, 2022 Accepting new patients
Mind and Harmony Mental Health & Wellness LLC Single Specialty CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.