Individual provider Active NPI

Tosin Esther Olakanye

  • Community Health Clinic/Center
  • Sunrise, FL
National Provider Identifier
1902440134
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
MCAP100733 Issued in FL
Practice address
6790 NW 26TH St
Sunrise, FL 33313-2131
Phone
(954) 842-8140
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMHP100032 FL
Professional Counselor 101YP2500X MCAP100733 FL
Community Health Clinic/Center 261QC1500X MCAP100733 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100733 FL

Addresses

Primary practice location

6790 NW 26TH St
Sunrise, FL 33313-2131

Mailing address

6790 NW 26TH St
Sunrise, FL 33313-2131
Phone (954) 842-8140

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.goldengladestc.com
Other URL www.goldengladestc.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMHP100032FLMDMental Health Counselor
MCAP100733FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Drum Wellness Center Inc. Addiction (Substance Use Disorder) CurrentSince May 29, 2022 Accepting new patients

Organizations & group practices 1

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1902440134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 NW 26TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132131",
            "telephone_number": "954-842-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 NW 26TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132131",
            "telephone_number": "954-842-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAKANYE",
        "first_name": "TOSIN",
        "middle_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "CMHP100032",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MCAP100733",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "MCAP100733",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.goldengladestc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "6790 NW 26th St",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333132131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.goldengladestc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "6790 NW 26th St",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333132131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.