Individual provider Active NPI

Godwin Oghenenyerhovwo Oshegbo, LCPC

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1922339894
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4157 Issued in MD
Practice address
3514 Stoney Creek CT
Owings Mills, MD 21117-1522
Phone
(443) 430-1726
Fax
(443) 200-1514
NPI assigned
Jan 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4157 MD Primary
Professional Counselor 101YP2500X LC4157 MD

Addresses

Primary practice location

3514 Stoney Creek CT
Owings Mills, MD 21117-1522

Mailing address

3514 Stoney Creek CT
Owings Mills, MD 21117-1522
Phone (443) 430-1726

Other identifiers 2

IdentifierTypeStateIssuer
LC4157OtherMDSTATE BOARD
99-2613231OtherIRS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240620001061 MD Practitioner - Mental Health Counselor 4385187285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Baltimore, MD 21212
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

5835 York Rd
Baltimore, MD 21212
Phone (410) 204-4541

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": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1922339894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 STONEY CREEK CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171522",
            "telephone_number": "443-430-1726",
            "fax_number": "443-200-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 STONEY CREEK CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171522",
            "telephone_number": "443-430-1726",
            "fax_number": "443-200-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHEGBO",
        "first_name": "GODWIN",
        "middle_name": "OGHENENYERHOVWO",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4157",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "LC4157",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "99-2613231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.