Individual provider Active NPI

Adesuwa Lauretta Osemwegie, LCPC

  • Counselor
  • Baltimore, MD
National Provider Identifier
1194503052
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC7250 Issued in MD
Practice address
2700 Lighthouse PT E Ste 260
Baltimore, MD 21224-4791
Phone
(301) 919-0882
Fax
(410) 801-9672
NPI assigned
Sep 20, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC7250 MD Primary

Addresses

Primary practice location

2700 Lighthouse PT E Ste 260
Baltimore, MD 21224-4791

Mailing address

2700 Lighthouse PT E Ste 260
Baltimore, MD 21224-4791
Phone (301) 919-0882

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
LC7250MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omi Psychiatry and TMS LLC CurrentSince Sep 24, 2023 Accepting new patients
Omi Psychiatry and TMS LLC PastSince Sep 24, 2023 Accepting new patients

Locations

2700 Lighthouse Pt E
Ste 260
Baltimore, MD 21224
Phone (410) 801-6575

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1194503052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E STE 260",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244791",
            "telephone_number": "301-919-0882",
            "fax_number": "410-801-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E STE 260",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244791",
            "telephone_number": "301-919-0882",
            "fax_number": "410-801-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEMWEGIE",
        "first_name": "ADESUWA",
        "middle_name": "LAURETTA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.