Individual provider Active NPI

Olamide Kehinde, QMHP

  • Pastoral Counselor
  • Lynchburg, VA
National Provider Identifier
1407604853
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
2250 Murrell Rd Ste B1&2
Lynchburg, VA 24501-2141
Phone
(434) 849-7083
Fax
(434) 849-7665
NPI assigned
May 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X VA Primary

Addresses

Primary practice location

2250 Murrell Rd Ste B1&2
Lynchburg, VA 24501-2141

Mailing address

107 Crestline Dr
Forest, VA 24551-1470
Phone (434) 851-8657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Favored Services, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

2250 Murrell Rd
Ste B12
Lynchburg, VA 24501
Phone (434) 849-7083

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1407604853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRESTLINE DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511470",
            "telephone_number": "434-851-8657",
            "fax_number": "434-849-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MURRELL RD STE B1&2",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012141",
            "telephone_number": "434-849-7083",
            "fax_number": "434-849-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHINDE",
        "first_name": "OLAMIDE",
        "credential": "QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.