Iyabosola Ajani, MA, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11630 Issued in NC

Practice address

4406 Stonewall Dr
Raleigh, NC 27604-4957

Phone

(919) 272-1670

NPI assigned

Jul 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mindly Group, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306196944
  Medicare reassignment NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467974162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 STONEWALL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044957",
            "telephone_number": "919-272-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 STONEWALL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044957",
            "telephone_number": "919-272-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJANI",
        "first_name": "IYABOSOLA",
        "credential": "MA, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Aiken, RD
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• Aja Cann, PLLC (Innerscape Therapy)
• Aje Family Care Home LLC
• Kehinde O Ajirotutu
• Grishma Ajmera, PHARM. D
• Nkechi Ajuonuma, DNP
• Dori Oxendine Akasson

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.