Individual provider Active NPI

Olufunmilola Ruth Bello, MS

  • Counselor
  • Douglasville, GA
National Provider Identifier
1093349649
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000000000 Issued in GA
Practice address
3004 Lonetree PT
Douglasville, GA 30135-8695
Phone
(404) 246-9232
NPI assigned
Feb 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000000000 GA Primary

Addresses

Primary practice location

3004 Lonetree PT
Douglasville, GA 30135-8695

Mailing address

3004 Lonetree PT
Douglasville, GA 30135-8695
Phone (404) 246-9232

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rbello@eastchesterfamilyservice.com Direct
Other URL rbello@easchesterfamilyservice.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1093349649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 LONETREE PT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358695",
            "telephone_number": "404-246-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 LONETREE PT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358695",
            "telephone_number": "404-246-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "OLUFUNMILOLA",
        "middle_name": "RUTH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbello@eastchesterfamilyservice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3004 Lonetree Pt",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301358695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rbello@easchesterfamilyservice.com",
            "affiliation": "N",
            "endpointDescription": "healthcare information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3004 Lonetree Pt",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301358695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.