Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC17618 Issued in MD

Practice address

16 W 25TH St
Baltimore, MD 21218-5002

Phone

(443) 682-5807

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omoyuru.okundaye.p1@direct.bmsi.nextgenshare.com

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.

• Baltimore Medical System, Inc.

  dba BMS@Yard56

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment Care Compare group
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616
  Medicare reassignment NPD
• Empowerment Behavioral Health, LLC

  dba Ebh, LLC

  • Community/Behavioral Health Agency
  • Lutherville, MD
  • NPI 1811404015
  NPD Authorized official
• Transforming Lives With Care, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1184132433
  NPD Authorized official
• Pitoc-Behavioral Health Systems, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1285042283
  NPD (past) Authorized official

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1871900845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7921",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212210921",
            "telephone_number": "443-682-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185002",
            "telephone_number": "443-682-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "OMORUYI",
        "middle_name": "EPHRAIM",
        "credential": "MSW, LCSW-C, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA369",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC17618",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkiruka Okoyechira, DNP
• Chinwe Okudo, CRNP DNP
• Chinenye Okudoh, MD
• Samuel Elliot Okum
• Helen Omolasho Okundaye, CRNP; PMHNP-BC
• Robert Okwemba, PHARMD
• Uju Okwesili
• Robert Asante Okyere, MD
• Akinwumi Oladunni Ola, MD
• Adeola Olabinjo

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.