Individual provider Active NPI

Ifeanyi Gabriel Ezeh

  • Counselor
  • Forney, TX
National Provider Identifier
1871093260
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
75334 Issued in TX
Practice address
668 Scarlett Street
Forney, TX 75126
Phone
(956) 437-1355
NPI assigned
Feb 13, 2018
Last updated
May 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75334 TX
Counselor 101Y00000X 75334 TX Primary

Addresses

Primary practice location

668 Scarlett Street
Forney, TX 75126

Mailing address

668 Scarlett Street
Forney, TX 75126
Phone (956) 437-1355

Other practice location 1

8413 Park Avenue
Lyford, TX 78569
Phone (956) 437-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000290 TX Practitioner - Mental Health Counselor 2668821208 Reassigns benefits to 1 organization
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75334TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alabare Home Health LLC CurrentSince Oct 23, 2022 Accepting new patients
Inner Clarity Counseling CurrentSince Mar 25, 2024 Accepting new patients
Soundmind Mental Health LLC Professional CurrentSince Apr 14, 2024 Accepting new patients
Inner Clarity LLC PastSince Sep 29, 2019 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

Organizations & group practices 6

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1871093260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SCARLETT STREET",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "956-437-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SCARLETT STREET",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "956-437-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8413 PARK AVENUE",
            "address_purpose": "LOCATION",
            "city": "LYFORD",
            "state": "TX",
            "postal_code": "78569",
            "country_code": "US",
            "telephone_number": "956-437-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEH",
        "first_name": "IFEANYI",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75334",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "75334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.