Akili Banjo-Yeboah

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CACII200001240 Issued in DC

Practice address

718 Clopper Rd Apt 34
Gaithersburg, MD 20878-1333

Phone

(240) 510-4797

NPI assigned

Aug 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Aspire Community Wellness Consortium

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
  • NPI 1467261172
  Medicare reassignment NPD Authorized official
• Thrivenow Collective LLC

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1841135878

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Circle of Supports Inc.

  • Case Manager/Care Coordinator
  • Gaithersburg, MD
  • NPI 1861003444
  NPD

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1609487271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MUDDY BRANCH RD APT 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782953",
            "telephone_number": "240-761-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CLOPPER RD APT 34",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781333",
            "telephone_number": "240-510-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANJO-YEBOAH",
        "first_name": "AKILI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII200001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GAITHERSBURG",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "718 Clopper Rd Apt 34",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208781333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keyona Ballard
• Melissa Ballen, LICSW, LCSW-C
• Holly Marie Ballentine
• Abdul Bangura
• Huong Que Banh
• Annella Banks, CFNP
• Keyares Banks
• Shani Banks, LCPC, LPC
• Nicole Banner, LMT
• Carrie Anne Baran, NURSE PRACTITIONER

• Addiction (Substance Use Disorder) Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.