Individual provider Active NPI

Ekundayo Koyinsola Sogbesan, LCPC

  • Mental Health Counselor
  • Sandy Spring, MD
National Provider Identifier
1962170902
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC15219 Issued in MD
Practice address
913 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1318
Phone
(301) 278-6535
NPI assigned
Sep 3, 2021
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 LC15219 MD Primary

Addresses

Primary practice location

913 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1318

Mailing address

3206 La Dova Way
Upper Marlboro, MD 20774-2541
Phone (240) 639-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients
Renewin-Minds Counseling and Coaching Mental Health Current Accepting new patients

Locations

14502 Greenview Dr
Ste 500
Laurel, MD 20708
Phone (240) 746-2231

90 Painters Mill Rd
Ste 135136
Owings Mills, MD 21117
Phone (443) 955-2662

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1962170902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 LA DOVA WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742541",
            "telephone_number": "240-639-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLNEY SANDY SPRING RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601318",
            "telephone_number": "301-278-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGBESAN",
        "first_name": "EKUNDAYO",
        "middle_name": "KOYINSOLA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC15219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

Verify at the official NPI Registry.