ICON CLINIC LLC
NPI 1245808666
Nurse Practitioner - Psychiatric/Mental Health in Greenbelt, MD
About Icon Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICON CLINIC LLC (NPI 1245808666) is a healthcare organization registered as a psychiatric/mental health in Greenbelt, Maryland and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Washington and lists Thickness Patrick Egwuatu, Provider/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Icon Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Icon Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Icon Clinic LLC's NPI number?
The NPI number for Icon Clinic LLC is 1245808666. It was assigned to this organization in the NPPES registry on June 13, 2021.
Where is Icon Clinic LLC located?
Icon Clinic LLC is located at 7735 Belle Point Dr, Greenbelt, MD 20770. The listed phone number is (240) 455-3166.
What is Icon Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Icon Clinic LLC enrolled in Medicare?
Yes. Icon Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icon Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Icon Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Icon Clinic LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Icon Clinic Llc · NPI 1245808666
Psychiatric/Mental Health organization in Greenbelt, Maryland. Organization record, active in the CMS NPPES registry since June 13, 2021.
## Identity
- **NPI:** 1245808666 (Entity type: Organization)
- **Enumerated:** June 13, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Thickness Egwuatu, PROVIDER/CEO
## Practice location
- **Address:** 7735 BELLE POINT DR, Greenbelt, MD 20770-3300
- **Phone:** (240) 455-3166 · **Fax:** (240) 455-4154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245808666) · Data from the CMS NPPES public registry.