Yetunde Deja Omitogun, LGPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

200012710 Issued in DC

Practice address

808 Olney Sandy Spring Rd Ste 208
Sandy Spring, MD 20860-1075

Phone

(410) 635-1184

Fax

(410) 630-8087

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1366355091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 ANNAPOLIS EXCHANGE PKWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013273",
            "telephone_number": "410-635-1130",
            "fax_number": "410-630-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 OLNEY SANDY SPRING RD STE 208",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601075",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Annapolis Exchange Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013273",
            "country_code": "US",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Center St Ste 109B",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217717424",
            "country_code": "US",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMITOGUN",
        "first_name": "YETUNDE",
        "middle_name": "DEJA",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "200012710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Sandy Spring, MD
• Providers in Sandy Spring, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.