Ayokunle Adedapo
Individual provider Active NPI Professional Counselor · Laurel, MD
NPI 1235824939 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1235824939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP13681 (MD)
- Practice address
- 14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946 - Phone
- (443) 509-3602
- NPI assigned
- Apr 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- JK Health Systems
Practice addresses (Care Compare)
3620 S Hanover St
Baltimore, MD 21225-1705
Phone (443) 579-6044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260203001439 | MD | Practitioner - Mental Health Counselor | 6103304829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP13681 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JK Health Systems | Current |
Accepting new patients |
Locations
3620 S Hanover St
Baltimore, MD 21225
Phone (410) 354-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP13681 | MD | Yes |
Addresses
Primary practice location
14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946
Mailing address
14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946
Phone (443) 509-3602
Other providers in Laurel, MD
- Taiwo Adebesin
- Abiodun R Adebiyi
- Khadijat Oladoyin Adebiyi
- Adeola Adebusoye
- Olushola O Adebusoye
- Oluwadamilare Adedeji
- Abisola Kafilat Adejayan
- Abdulahi Adekola
- Adebola Adelakun
- Adesoji Babatunde Adelakun
All providers in Laurel, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.