Individual provider Active NPI

Ifeoma Ikem

  • Counselor
  • Washington, DC
National Provider Identifier
1578333605
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGPC200001895 Issued in DC
Practice address
4530 Wisconsin Ave NW Ste 300
Washington, DC 20016-4606
Phone
(202) 536-4414
NPI assigned
Jan 9, 2024
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGPC200001895 DC Primary

Addresses

Primary practice location

4530 Wisconsin Ave NW Ste 300
Washington, DC 20016-4606

Mailing address

7707 Jaywick Ave
Fort Washington, MD 20744-2148
Phone (573) 821-6802

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
LGPC200001895DCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Morning CurrentSince Dec 22, 2024 Accepting new patients

Locations

4530 Wisconsin Ave NW
Ste 300
Washington, DC 20016
Phone (202) 431-1856

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1578333605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 JAYWICK AVE",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442148",
            "telephone_number": "573-821-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 WISCONSIN AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164606",
            "telephone_number": "202-536-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEM",
        "first_name": "IFEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "LGPC200001895",
            "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 Mar 20, 2025; 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.