MARYJOY EBIRIM
NPI 1619502200
Counselor - Professional in Desoto, TX

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
800 KIRNWOOD DR, DESOTO, TX 75115(972) 982-0900 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2024, Mar 4, 2020 (2 updates tracked since 2020).

About Maryjoy Ebirim NPPES

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

MARYJOY EBIRIM (NPI 1619502200) is an individual professional provider in Desoto, Texas, licensed in Texas (87738) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619502200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARYJOY EBIRIM
Location Address800 KIRNWOOD DRDesoto, TX 75115-2000
Mailing Address800 Kirnwood DrDesoto, TX 75115-2000 · (972) 643-8139
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 4, 2020
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1619502200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 87738
800 KIRNWOOD DR, Desoto, TX 75115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryjoy Ebirim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688114630
PECOS Enrollment IDI20240905002352
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.

Medicare Billing Reassignment

Medicare enrollment records show Maryjoy Ebirim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
6666 HARWIN DR STE 155
Houston, TX 77036
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Nurse Practitioner (Psychiatric/Mental Health)
800 KIRNWOOD DR
DESOTO, TX 75115
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Psychiatric Hospital
800 KIRNWOOD DR
DESOTO, TX 75115
Pathology (Clinical Laboratory Director, Non-physician)
800 KIRNWOOD DR
DESOTO, TX 75115
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Nurse Practitioner (Psychiatric/Mental Health)
800 KIRNWOOD DR
DESOTO, TX 75115

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 Maryjoy Ebirim's NPI number?

The NPI number for Maryjoy Ebirim is 1619502200. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Maryjoy Ebirim located?

Maryjoy Ebirim practices at 800 Kirnwood Dr, Desoto, TX 75115. The listed phone number is (972) 982-0900.

What is Maryjoy Ebirim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Maryjoy Ebirim enrolled in Medicare?

Yes. Maryjoy Ebirim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maryjoy Ebirim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryjoy Ebirim reassigns Medicare benefits to Castle Health Care Services Inc. (Houston, TX). The 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 Maryjoy Ebirim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryjoy Ebirim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Maryjoy Ebirim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryjoy Ebirim was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.