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MS. ADESUWA IZEVBIGIE LCPC
NPI 1174969992
Counselor in Lanham, MD

Active since May 20, 2013PECOS Enrolled
4355 NICOLE DR, LANHAM, MD 20706(301) 429-2171 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, Jan 13, 2022, Jun 10, 2021 and 1 more (4 updates tracked since 2017).

About Ms. Adesuwa Izevbigie Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ADESUWA IZEVBIGIE LCPC (NPI 1174969992) is an individual counselor in Lanham, Maryland and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174969992
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. ADESUWA IZEVBIGIECredential: LCPC
Location Address4355 NICOLE DRLanham, MD 20706-4349
Mailing Address1304 Fairlakes PlBowie, MD 20721-3100 · (301) 318-0141
Phone(301) 429-2171
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 20, 2013
Last NPPES UpdateJuly 14, 20224 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1174969992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC5466 (MD), PRC200001447 (DC), 0701011508 (VA)
4355 NICOLE DR, Lanham, MD 20706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Adesuwa Izevbigie Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941652747
PECOS Enrollment IDI20250904001674
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFILIATED SANTE GROUP
Psychologist
4355 NICOLE DR
LANHAM, MD 20706
Prince George's County (301) 429-2171
AFFILIATED SANTE GROUP
Day Training, Developmentally Disabled Services
4355 NICOLE DR
LANHAM, MD 20706
Prince George's County (301) 429-2171
AFFILIATED SANTE GROUP
Community/Behavioral Health
4355 NICOLE DR
LANHAM, MD 20706
Prince George's County (301) 429-2171
KINAIA BROWN BS, CPRP
Rehabilitation Practitioner
4355 NICOLE DR
LANHAM, MD 20706
Prince George's County (301) 572-6585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adesuwa Izevbigie's NPI number?

The NPI number for Adesuwa Izevbigie is 1174969992. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Adesuwa Izevbigie located?

Adesuwa Izevbigie practices at 4355 Nicole Dr, Lanham, MD 20706. The listed phone number is (301) 429-2171.

What is Adesuwa Izevbigie's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Adesuwa Izevbigie enrolled in Medicare?

Yes. Adesuwa Izevbigie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adesuwa Izevbigie was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.