Individual provider Active NPI

Folasade Asunmo

  • Mental Health Counselor
  • Elgin, IL
National Provider Identifier
1811722333
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
36-2472748 Issued in IL
Practice address
202 S Randall Rd Unit 6451
Elgin, IL 60121-2757
Phone
(331) 223-2042
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 36-2472748 IL Primary

Addresses

Primary practice location

202 S Randall Rd Unit 6451
Elgin, IL 60121-2757

Mailing address

202 S Randall Rd Unit 6451
Elgin, IL 60121-2757
Phone (331) 223-2042

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1811722333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S RANDALL RD UNIT 6451",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601212757",
            "telephone_number": "331-223-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S RANDALL RD UNIT 6451",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601212757",
            "telephone_number": "331-223-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUNMO",
        "first_name": "FOLASADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "36-2472748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.