MEDICARE: IRENE YIRENKYIWA ANSAH ANSAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	009427	CT

General Provider Information

NPI Number	:	1528902293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE YIRENKYIWA ANSAH ANSAH

Provider Business Mailing Address
First Line	:	1150 KENTON DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-3072
Country	:	US
Telephone Number	:	619-313-1838
Fax Number	:	619-313-1838

Provider Business Practice Location Address
First Line	:	1150 KENTON DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-3072
Country	:	US
Telephone Number	:	619-313-1838
Fax Number	:	619-313-1838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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