Theresa Ijeoma Iheagwara

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC13832 Issued in MD

Practice address

10119 Autumn Ridge CT
Bowie, MD 20721-3153

Phone

(240) 544-8092

NPI assigned

Mar 5, 2021

Last updated

Apr 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MD

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Panda Health Services Limited Liability CompanyGroup PAC ID 6507395761, 2 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.

• P&a Health Services Limited Liability Company

  dba P&A Health Services LLC

  • Clinic/Center
  • Linthicum, MD
  • NPI 1003316407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1881289411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 AUTUMN RIDGE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213153",
            "telephone_number": "240-544-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 AUTUMN RIDGE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213153",
            "telephone_number": "240-544-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEAGWARA",
        "first_name": "THERESA",
        "middle_name": "IJEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwagbotemi Molayo Igbaroola
• Jessica Igbokwe
• Peace O Ighavongbe
• Chibuzor Susan Igolo
• Berenice Igwacho
• Joseph Chukwunwike Ijeh, MD
• Christopher Onyebuchi Ijomah
• Ikc Healthcare Services
• Ikome Health Care Services Inc
• Faosiat Omolara Ilupeju

• Mental Health Counselor in Bowie, MD
• Providers in Bowie, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.