Active NPI
Adebimpe Ogunade, MA, LPC
- Professional Counselor
- Bloomfield, NJ
National Provider Identifier
1114675675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00814600
- Practice address
- 13 Municipal PLZ
Bloomfield, NJ 07003-7200 - Phone
- (201) 855-9046
- NPI assigned
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00814600 | NJ | Primary |
Addresses
Primary practice location
13 Municipal PLZ
Bloomfield, NJ 07003-7200
Mailing address
PO Box 223
Bloomfield, NJ 07003-0223
Phone (201) 855-9046
Other practice location 1
134 N 4th St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 River St
Suite 9
Hoboken, NJ 07030-5990
Phone (646) 450-7748
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00814600 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.a. | Current | Accepting new patients |
Locations
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
134 N 4th St
Brooklyn, NY 11249
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1114675675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070030223",
"telephone_number": "201-855-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MUNICIPAL PLZ",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070037200",
"telephone_number": "201-855-9046"
}
],
"practiceLocations": [
{
"address_1": "134 N 4th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112493296",
"country_code": "US",
"telephone_number": "646-450-7748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNADE",
"first_name": "ADEBIMPE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00814600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.