Oluwakemi Iyabo Amola, PHD, LCMHC – Counselor

Key facts

NPI: 1568612554
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 7110 (NC)
Practice address: 1073 Bullard CT
Raleigh, NC 27615-6867
Phone: (888) 557-4080
Fax: (919) 249-2150
NPI assigned: Sep 25, 2008
Sex: Female
Sole proprietor: Yes

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.

Voice Therapeutic Solutions PLLC Community/Behavioral Health Agency · Raleigh, NC · NPI 1861705162

NPD Authorized official COUNSELOR

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
7110	NC	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Voice Therapeutic Solutions PLLC	Counselor	Current since Oct 10, 2021	Accepting new patients

Locations

1073 Bullard Ct
Raleigh, NC 27615
Phone (888) 557-4080

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Behavioral Health Agency	251S00000X	7110	NC
Counselor	101Y00000X	7110	NC	Yes

Addresses

Primary practice location

1073 Bullard CT
Raleigh, NC 27615-6867

Mailing address

8612 Neuse Stone Dr
Raleigh, NC 27616-7886
Phone (919) 452-1577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 7, 2021.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1568612554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 NEUSE STONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167886",
            "telephone_number": "919-452-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 BULLARD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156867",
            "telephone_number": "888-557-4080",
            "fax_number": "919-249-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOLA",
        "first_name": "OLUWAKEMI",
        "middle_name": "IYABO",
        "name_prefix": "Mrs.",
        "credential": "PHD, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7110",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "7110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

All providers in Raleigh, NC · Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.