Morolake Odetoyinbo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009123 Issued in NY

Practice address

23 Church St
Canton, NY 13617-1101

Phone

(240) 507-2585

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mental Health Counseling Services of Northern New York, PLLC

  • Mental Health Counselor
  • Potsdam, NY
  • NPI 1356651285
  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1073055133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CHURCH ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171101",
            "telephone_number": "240-507-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CHURCH ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171101",
            "telephone_number": "240-507-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODETOYINBO",
        "first_name": "MOROLAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Orthopedic Laboratory Inc.
• Lindsey Nugent, CASAC-T
• Thomas Richard Nystrom, DPM
• Terra Marie O'Neill, P.T.
• Brandi L O'Shea
• William Patrick Omara
• Meghan Oneil, ATC
• Kathryn J Ort, MHC
• Sara Alice Ort, OTR L
• Daniel Richard Palmateer, M.D.

• Mental Health Counselor in Canton, NY
• Providers in Canton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.