Individual provider Active NPI

Olaitan Daramola, Jr

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1982385068
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3011 Arden Forest LN
Bowie, MD 20716-3822
Phone
(202) 849-1584
NPI assigned
Jul 31, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 NU Primary

Addresses

Primary practice location

3011 Arden Forest LN
Bowie, MD 20716-3822

Mailing address

3417 18TH St NE
Washington, DC 20018-2721
Phone (202) 629-2917

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley & Associates, LLC CurrentSince Aug 6, 2023 Accepting new patients
Bradley & Associates, LLC Case Management CurrentSince Aug 6, 2023 Accepting new patients

Locations

3417 18th St NE
Washington, DC 20018
Phone (202) 629-2917

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1982385068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182721",
            "telephone_number": "202-629-2917",
            "fax_number": "202-629-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 ARDEN FOREST LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163822",
            "telephone_number": "202-849-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMOLA, JR",
        "first_name": "OLAITAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.