Oluwanbe Idowu Eniobamo Adejorin, CSS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1001 Lawrence St NE
Washington, DC 20017-3513

Phone

(240) 604-1558

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: oluwanbe.olagundoye@cc-dc.org

• Oluwanbe Idowu Olagundoye Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2022.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1144933540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 KAREN BLVD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434602",
            "telephone_number": "240-604-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAWRENCE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173513",
            "telephone_number": "240-604-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENIOBAMO ADEJORIN",
        "first_name": "OLUWANBE",
        "middle_name": "IDOWU",
        "credential": "CSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Oluwanbe.olagundoye@CC-dc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Oluwanbeolagundoye@gmail.com",
            "address_1": "1001 Lawrence St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200173513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Oluwanbe.olagundoye@cc-dc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Lawrence St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200173513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Oluwanbe.olagundoye@CC-dc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Oluwanbeolagundoye@gmail.com",
            "address_1": "1001 Lawrence St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200173513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Oluwanbe.olagundoye@cc-dc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Lawrence St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200173513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLUWANBE",
            "last_name": "OLAGUNDOYE",
            "middle_name": "IDOWU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.