Active NPI
Oyebode Ikujuni Komolafe
- Professional Counselor
- Washington, DC
National Provider Identifier
1730647819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- HHA13302
- Practice address
- 6120 Kansas Ave NE
Washington, DC 20011-1531 - Phone
- (202) 272-1234
- NPI assigned
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | HHA13302 | DC | Primary |
Addresses
Primary practice location
6120 Kansas Ave NE
Washington, DC 20011-1531
Mailing address
3301 Ashford Blvd Apt 606
Laurel, MD 20707
Phone (240) 586-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA13302 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1730647819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 ASHFORD BLVD APT 606",
"city": "LAUREL",
"state": "MD",
"postal_code": "20707",
"telephone_number": "240-586-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 KANSAS AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111531",
"telephone_number": "202-272-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMOLAFE",
"first_name": "OYEBODE",
"middle_name": "IKUJUNI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "HHA13302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.