Sam Okanume

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14657 Issued in MD

Practice address

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353

Phone

(301) 552-7120

Fax

(301) 459-0297

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Diversity Counseling Associates, LLC

  • Professional Counselor
  • Largo, MD
  • NPI 1801422100
  NPD Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1558732206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CALVERTON BLVD APT 21",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053406",
            "telephone_number": "301-814-3764",
            "fax_number": "301-459-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "301-552-7120",
            "fax_number": "301-459-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKANUME",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "PRC14657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PRC14657",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Ojong
• Delphine Ojong
• Nwabuogo Nebechi Okafo
• Favour Okafor
• Miracle Odinaka Okafor
• Adeolu Oke
• Temitope Oke
• Dideolu Okediran
• Amaka Lauren Okeke, OD
• Godswill O Okoji, MD

• Professional Counselor in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.