Active NPI
Olukorede Daniel
- Addiction (Substance Use Disorder) Counselor
- Hanover, MD
National Provider Identifier
1285543983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- SC3500
- Practice address
- 6024 Hanover Rd
Hanover, MD 21076-1036 - Phone
- (571) 408-9689
- NPI assigned
- Sep 7, 2026
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC3500 | MD | Primary |
Addresses
Primary practice location
6024 Hanover Rd
Hanover, MD 21076-1036
Mailing address
6024 Hanover Rd
Hanover, MD 21076-1036
Phone (571) 408-9689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1285543983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 HANOVER RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761036",
"telephone_number": "571-408-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6024 HANOVER RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761036",
"telephone_number": "571-408-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "OLUKOREDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "SC3500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.