Individual provider Active NPI

Jessica Oyefusi, LCPC

  • Professional Counselor
  • Hyattsville, MD
National Provider Identifier
1093485898
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC14991 Issued in MD
Practice address
2950 Belcrest Center Dr # 1009
Hyattsville, MD 20782-1912
Phone
(469) 251-0785
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013448 VA
Professional Counselor 101YP2500X 836639 TX
Professional Counselor 101YP2500X PC-0011542 DE
Professional Counselor 101YP2500X PRC200002035 DC
Professional Counselor 101YP2500X LC14991 MD Primary

Addresses

Primary practice location

2950 Belcrest Center Dr # 1009
Hyattsville, MD 20782-1912

Mailing address

2950 Belcrest Center Dr # 1009
Hyattsville, MD 20782-1912
Phone (214) 991-2022

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherN/A

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

State licenses

LicenseStateTypeSpecialty
PRC200002035DCMDProfessional Counselor
PC-0011542DEMDProfessional Counselor
LC14991MDMDProfessional Counselor
836639TXMDProfessional Counselor
0701013448VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1093485898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BELCREST CENTER DR # 1009",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821912",
            "telephone_number": "214-991-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 BELCREST CENTER DR # 1009",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821912",
            "telephone_number": "469-251-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEFUSI",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "836639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011542",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200002035",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.