Individual provider Active NPI

Taiwo Ajayi

  • Professional Counselor
  • Severn, MD
National Provider Identifier
1013649300
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LG12764 Issued in MD
Practice address
8244 Lexington Dr
Severn, MD 21144-2713
Phone
(443) 694-5318
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LG12764 MD Primary

Addresses

Primary practice location

8244 Lexington Dr
Severn, MD 21144-2713

Mailing address

8244 Lexington Dr
Severn, MD 21144-2713
Phone (443) 694-5318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205001503 MD Practitioner - Mental Health Counselor 3678009339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overcare Health Services LLCGroup PAC ID 6507254398, 5 clinicians

Practice addresses (Care Compare)

16 Flaxleaf CT
Baltimore, MD 21221-1752
Phone (443) 739-4202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG12764MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Overcare Health Services LLC CurrentSince Sep 30, 2024 Accepting new patients
Overcare Health Services LLC CurrentSince Sep 30, 2024 Accepting new patients

Locations

2245 Eastern Ave
Baltimore, MD 21231
Phone (410) 675-6046

520 Forrest St
Baltimore, MD 21202
Phone (443) 489-9009

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1013649300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 LEXINGTON DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442713",
            "telephone_number": "443-694-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 LEXINGTON DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442713",
            "telephone_number": "443-694-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "TAIWO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LG12764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severn, MD

Sources for this page

Verify at the official NPI Registry.