Individual provider Active NPI

Gideon Esuzor

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1649920216
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010781 Issued in DE
Practice address
2300 Pennsylvania Ave Unit LLC
Wilmington, DE 19806-1392
Phone
(302) 213-6158
Fax
(855) 530-2764
NPI assigned
Mar 26, 2022
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189217 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC006300 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010781 DE Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN190476 GA

Addresses

Primary practice location

2300 Pennsylvania Ave Unit LLC
Wilmington, DE 19806-1392

Mailing address

13603 White Barn LN
Herndon, VA 20171-3341
Phone (404) 788-2882

Other practice location 1

10450 Shaker Dr Ste 110
Columbia, MD 21046-2348
Phone (410) 800-8179

Other practice location 2

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439
Phone (302) 213-6158

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
RN190476GAMDAdult Psychiatric/Mental Health Registered Nurse
L8-0010781DEMDPsychiatric/Mental Health Nurse Practitioner
AC006300MDMDPsychiatric/Mental Health Nurse Practitioner
0024189217VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Introspection Counseling Center LLC Psychiatric/Mental Health CurrentSince Sep 14, 2025 Accepting new patients

Locations

2300 Pennsylvania Ave
Unit Llc
Wilmington, DE 19806
Phone (302) 213-6158

10770 Columbia Pike
Ste 300
Silver Spring, MD 20901
Phone (240) 633-0853

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": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1649920216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 WHITE BARN LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713341",
            "telephone_number": "404-788-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE UNIT LLC",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061392",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10450 Shaker Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462348",
            "country_code": "US",
            "telephone_number": "410-800-8179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10770 Columbia Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209014439",
            "country_code": "US",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESUZOR",
        "first_name": "GIDEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-26",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189217",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC006300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010781",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN190476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.