Individual provider Active NPI

Ejobosele Peace Ikhajiagbe, MSN, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1619648367
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R219201 Issued in MD
Practice address
6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105
Phone
(410) 680-6791
NPI assigned
Sep 22, 2021
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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 Practitioner 363LP0808X R219201 MD Primary

Addresses

Primary practice location

6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105

Mailing address

3167 Pine Orchard LN Apt 302
Ellicott City, MD 21042-4203
Phone (410) 680-6791

Other identifiers 1

IdentifierTypeStateIssuer
888677600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220824001664 MD Practitioner - Nurse Practitioner 7911380985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agate Integrated and Behavioral Healthcare Services IncGroup PAC ID 9931553740, 2 clinicians

Practice addresses (Care Compare)

3216 Greenmount Ave
Baltimore, MD 21218-3438
Phone (443) 934-0084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R219201MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Healthcare Services LLC CurrentSince Jun 1, 2022 Accepting new patients
Sabaoth Behavioral Healthcare Services LLC Psychiatric/Mental Health CurrentSince Jun 1, 2026 Accepting new patients
Agate Integrated and Behavioral Healthcare Services Inc CurrentSince Aug 13, 2023 Accepting new patients

Locations

3216 Greenmount Ave
Baltimore, MD 21218
Phone (240) 515-4868

6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411

1726 Reisterstown Rd
Ste 212
Pikesville, MD 21208
Phone (443) 501-3204

Interoperability endpoints

  • Direct secure messaging: eikhajiagbe422153@wellspan.direct-ci.com

Organizations & group practices 3

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1619648367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 PINE ORCHARD LN APT 302",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424203",
            "telephone_number": "410-680-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462105",
            "telephone_number": "410-680-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKHAJIAGBE",
        "first_name": "EJOBOSELE",
        "middle_name": "PEACE",
        "credential": "MSN, CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R219201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888677600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.