Individual provider Active NPI

Olabisi O Iranloye

  • Counselor
  • Aurora, IL
National Provider Identifier
1548813140
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1436 Foxcroft Dr
Aurora, IL 60506-1252
Phone
(630) 302-2528
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016449 IL
Registered Nurse 163W00000X 041378769 IL
Counselor 101Y00000X Primary

Addresses

Primary practice location

1436 Foxcroft Dr
Aurora, IL 60506-1252

Mailing address

1436 Foxcroft Dr
Aurora, IL 60506-1252
Phone (630) 302-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180016449ILMDProfessional Counselor
041378769ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Counseling LLC Professional CurrentSince Dec 5, 2024 Accepting new patients

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1548813140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 FOXCROFT DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061252",
            "telephone_number": "630-302-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 FOXCROFT DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061252",
            "telephone_number": "630-302-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANLOYE",
        "first_name": "OLABISI",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016449",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041378769",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.