Active NPI
Gabriel W Adelanwa, LCPC
- Mental Health Counselor
- Beltsville, MD
National Provider Identifier
1194841460
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 19, 2007.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC1235
- Practice address
- 11942 Twinlakes Dr Apt 24
Beltsville, MD 20705-3183 - Phone
- (301) 586-0010
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC1235 | MD | Primary |
Addresses
Primary practice location
11942 Twinlakes Dr Apt 24
Beltsville, MD 20705-3183
Mailing address
11942 Twinlakes Dr Apt 24
Beltsville, MD 20705-3183
Phone (301) 586-0010
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1235 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194841460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11942 TWINLAKES DR APT 24",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053183",
"telephone_number": "301-586-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11942 TWINLAKES DR APT 24",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053183",
"telephone_number": "301-586-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELANWA",
"first_name": "GABRIEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC1235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.