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IFEANYI BOSAH LPC
NPI 1710640578
Counselor - Mental Health in Washington, DC

Active since October 19, 2021PECOS Enrolled
1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002(240) 330-3844 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 10, 2021, Oct 19, 2021 (2 updates tracked since 2021).

About Ifeanyi Bosah Lpc NPPES

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

IFEANYI BOSAH LPC (NPI 1710640578) is an individual mental health provider in Washington, District Of Columbia and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710640578
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIFEANYI BOSAHCredential: LPC
Location Address1000 MOUNT OLIVET RD NEWashington, DC 20002-2210
Mailing Address1000 Mount Olivet Rd NeWashington, DC 20002-2210 · (240) 330-3844
Phone(240) 330-3844
Sole ProprietorYes
Enumeration DateOctober 19, 2021
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1710640578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1000 MOUNT OLIVET RD NE, Washington, DC 20002
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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)

Ifeanyi Bosah Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

DR. CHRISTOPHER LEE HAMPTON FNP-C, DNP
Nurse Practitioner (Family)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-8418
DEPARTMENT OF YOUTH REHABILITATION SERVICES
Clinic/Center (Prison Health)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-8405
CALVIN IVY MASSE
Home Health Aide
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 440-2925
DR. THERESA KELLY-HOLMES PHD
Psychologist
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-8125
MRS. SAFURATU AJAYI PORTER CRNP, FNP-C
Nurse Practitioner (Family)
1000 MOUNT OLIVET RD NE
WASHINGTON, DC 20002
District of Columbia (202) 576-7624

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 Ifeanyi Bosah's NPI number?

The NPI number for Ifeanyi Bosah is 1710640578. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Ifeanyi Bosah located?

Ifeanyi Bosah practices at 1000 Mount Olivet Rd NE, Washington, DC 20002. The listed phone number is (240) 330-3844.

What is Ifeanyi Bosah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ifeanyi Bosah enrolled in Medicare?

Yes. Ifeanyi Bosah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ifeanyi Bosah was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.