Individual provider Active NPI

Mofoluke Olubunmi Bayode, LPC

  • Mental Health Counselor
  • Lake Bluff, IL
National Provider Identifier
1376180265
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178015136 Issued in IL
Practice address
307 Weatherford CT
Lake Bluff, IL 60044-1905
Phone
(484) 889-8213
NPI assigned
Dec 10, 2019
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178015136 IL Primary

Addresses

Primary practice location

307 Weatherford CT
Lake Bluff, IL 60044-1905

Mailing address

307 Weatherford CT
Lake Bluff, IL 60044-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613004119 IL Practitioner - Mental Health Counselor 9133662596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Josselyn Center NFPGroup PAC ID 0840289740, 86 clinicians
Arbor Counseling Center, LTDGroup PAC ID 4880698935, 16 clinicians

Practice addresses (Care Compare)

1135 Skokie Blvd
Northbrook, IL 60062-4118
Phone (847) 441-5600

1790 Nations Dr
Suite 208
Gurnee, IL 60031-9176
Phone (847) 913-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Josselyn Center NFP CurrentSince Mar 10, 2024 Accepting new patients
Arbor Counseling Center,LTD CurrentSince Jan 4, 2026 Accepting new patients
The Josselyn Center NFP CurrentSince Mar 10, 2024 Accepting new patients

Locations

1401 McHenry Rd
Ste 122
Buffalo Grove, IL 60089
Phone (847) 913-0393

1790 Nations Dr
Ste 208
Gurnee, IL 60031
Phone (847) 913-0393

1135 Skokie Blvd
Northbrook, IL 60062
Phone (224) 505-5665

405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603

415 Washington St
Waukegan, IL 60085
Phone (224) 480-4498

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1376180265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WEATHERFORD CT",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WEATHERFORD CT",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441905",
            "telephone_number": "484-889-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYODE",
        "first_name": "MOFOLUKE",
        "middle_name": "OLUBUNMI",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.