Maryjoy Ebirim

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

87738 Issued in TX

Practice address

800 Kirnwood Dr
Desoto, TX 75115-2000

Phone

(972) 982-0900

NPI assigned

Mar 4, 2020

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Castle Health Care Services IncGroup PAC ID 0749691368, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Castle Health Care Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1437474343
  Medicare reassignment Care Compare group NPD
• Anavota Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cypress, TX
  • NPI 1639817513
  NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1619502200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIRNWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152000",
            "telephone_number": "972-643-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRNWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152000",
            "telephone_number": "972-982-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBIRIM",
        "first_name": "MARYJOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Dyer, LPC
• Ashley Easaw, DNP, RN
• Ebai Healthcare Services
• Ebie Community Medical PLLC
• Ebie Community Medical,PLLC
• Ecko Medical LLC
• Edid Ramos, MD, PA
• Gabrielle Elvessie Edwards
• Uruemuesiri Amanda Efevberha
• Eight Healthcare

• Professional Counselor in Desoto, TX
• Providers in Desoto, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.