Ajibola A Obajimi, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011550 Issued in IL

Practice address

1133 E 83Rd St Unit 172
Chicago, IL 60619-6400

Phone

(312) 305-1007

Fax

(773) 207-5335

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Wellness Path Therapy Center

  • Professional Counselor
  • Chicago, IL
  • NPI 1720688591
  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1366936767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E 83RD ST UNIT 172",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196400",
            "telephone_number": "312-305-1007",
            "fax_number": "773-207-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E 83RD ST UNIT 172",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196400",
            "telephone_number": "312-305-1007",
            "fax_number": "773-207-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAJIMI",
        "first_name": "AJIBOLA",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reema Obaid Ross, PSY.D.
• Mir Obaid, M.D.
• Marwah Al Obaidi, DMD
• Obada Obaisi, M.D.
• Reem Mutiah Obaisi, DDS
• Ademola Adebukola Obajuluwa, M.D.
• Idola Kirstie Obalola, LCSW
• Chelsea Alexis Ewemade Obaroghedo
• Obaseki & Associates Inc.
• Ebuwa Joy Obaseki, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.