Adedayo Adeala
Individual provider Active NPI Mental Health Counselor · Laurel, MD
NPI 1003258971 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1003258971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 8400 Snowden Loop
Laurel, MD 20708-2358 - Phone
- (240) 917-1380
- NPI assigned
- Jul 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8400 Snowden Loop
Laurel, MD 20708-2358
Phone (240) 917-1380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110002378 | DC | Practitioner - Mental Health Counselor | 5294263737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Counseling Services Inc | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
8400 Snowden Loop
Laurel, MD 20708-2358
Mailing address
8400 Snowden Loop
Laurel, MD 20708-2358
Phone (240) 838-2245
Other providers in Laurel, MD
- Addiction Recovery, Inc
- Addiction Recovery, Inc,
- Addiction Recovery, Inc.
- Addiction Recovery, Inc.
- Addis Alem Medicine, PLLC
- Damilola Adebanjo I
- Rukayat Adebeshin
- Taiwo Adebesin
- Abiodun R Adebiyi
- Khadijat Oladoyin Adebiyi
All providers in Laurel, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.