Individual provider Active NPI

Temitope Shakirat Oluguna, LCSW, LCADC

  • Mental Health Counselor
  • Newark, NJ
National Provider Identifier
1679939656
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05667800 Issued in NJ
Practice address
45 Academy St Ste 303
Newark, NJ 07102-2900
Phone
(973) 878-3900
Fax
(973) 878-3809
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00242600 NJ
Mental Health Counselor 101YM0800X 44SC05667800 NJ Primary

Addresses

Primary practice location

45 Academy St Ste 303
Newark, NJ 07102-2900

Mailing address

45 Academy St Ste 303
Newark, NJ 07102-2900
Phone (973) 878-3900

Other names 1

  • Temitope Shakirat Coates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20190311000013 NJ Practitioner - Clinical Social Worker 6709175334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Power House Psychotherapy and Addiction, LLCGroup PAC ID 3971831421, 2 clinicians

Practice addresses (Care Compare)

45 Academy St
Suite 303
Newark, NJ 07102-2900
Phone 97387839001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00242600NJMDAddiction (Substance Use Disorder) Counselor
44SC05667800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Power House Psychotherapy & Addiction, LLC CurrentSince Sep 1, 2019 Accepting new patients
Power House Psychotherapy & Addiction, LLC Past Accepting new patients
Power House Psychotherapy & Addiction, LLC Past Accepting new patients
Power House Psychotherapy & Addiction, LLC Addiction (Substance Use Disorder) Past Accepting new patients
Power House Psychotherapy & Addiction, LLC Past Accepting new patients
Power House Psychotherapy & Addiction, LLC Past Accepting new patients

Locations

45 Academy St
Ste 303
Newark, NJ 07102
Phone (973) 624-1520

654 Mount Prospect Ave
Ste 201
Newark, NJ 07104
Phone (862) 600-0536

Organizations & group practices 6

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1679939656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ACADEMY ST STE 303",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022900",
            "telephone_number": "973-878-3900",
            "fax_number": "973-878-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ACADEMY ST STE 303",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022900",
            "telephone_number": "973-878-3900",
            "fax_number": "973-878-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGUNA",
        "first_name": "TEMITOPE",
        "middle_name": "SHAKIRAT",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00242600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05667800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMITOPE",
            "last_name": "COATES",
            "middle_name": "SHAKIRAT",
            "credential": "LCSW, LCADC, CCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.