Yetunde Anifowose, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.012877 Issued in IL

Practice address

433 Dodge Ave
Evanston, IL 60202-3253

Phone

(708) 724-6565

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yetunde Ebiesuwa Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upmc Advanced Practice ProvidersGroup PAC ID 4082836283, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yetunde.anifowose@upmcdirect.com

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.

• Upmc Advanced Practice Providers

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1457769176
  Medicare reassignment Care Compare group NPD
• Upmc Advanced Practice Providers

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1720608805
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417489337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023253",
            "telephone_number": "708-724-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIFOWOSE",
        "first_name": "YETUNDE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-09-11",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YETUNDE",
            "last_name": "EBIESUWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Preetha Andrews
• Jessica Andrick, LPC
• Marlene Angelico, CNP
• Kimberly Anglin
• Silvia Lucia Angulo
• Marvi K Anjum
• William John Ankenbrandt, MD
• Ann E Kinnealey MD PC
• Anne Chodzko PC
• Anne Marous PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.