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MR. MODEBOLA FADARE
NPI 1063754182
Counselor - Mental Health in Oklahoma City, OK

Active since March 27, 2013
9210 S WESTERN AVE, STE A-21, OKLAHOMA CITY, OK 73139(405) 246-9259(405) 606-7893 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Modebola Fadare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MODEBOLA FADARE (NPI 1063754182) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1063754182
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MODEBOLA FADARE
Location Address9210 S WESTERN AVE, STE A-21Oklahoma City, OK 73139-4982
Mailing Address9210 S Western Ave, Ste A-21Oklahoma City, OK 73139-4982 · (405) 246-9259 · Fax (405) 606-7893
Phone(405) 246-9259
Fax(405) 606-7893
Sole ProprietorYes
Enumeration DateMarch 27, 2013
Last NPPES UpdateMay 16, 2016
✔ NPI 1063754182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6107 (OK)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
9210 S WESTERN AVE, Oklahoma City, OK 73139
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UTSAV SHRESTHA BA
Case Manager/Care Coordinator
9210 S WESTERN AVE, STE. A-21
OKLAHOMA CITY, OK 73139
Cleveland County (405) 703-8755
SUSANA OPARE
Case Manager/Care Coordinator
9210 S WESTERN AVE, SUITE A-21
OKLAHOMA CITY, OK 73139
Cleveland County (405) 312-5454
MAGDALENE MCDANIEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9210 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 934-1681
SOPHIE YENNYUY MIYE
Case Manager/Care Coordinator
9210 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 227-0955
GENESI LLC
Community/Behavioral Health
9210 S WESTERN AVE, A-21
OKLAHOMA CITY, OK 73139
Cleveland County (405) 703-8755
MICHEAL MARSH
Case Manager/Care Coordinator
9210 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 934-1681
ROSELINE NGOZI ONYEMACHI
Counselor
9210 S WESTERN AVE, STE A-21
OKLAHOMA CITY, OK 73139
Cleveland County (405) 417-2699
DR. AMY LEGGETT RIDGWAY PT, DPT
Physical Therapist
9210 S WESTERN AVE, SUITE 27
OKLAHOMA CITY, OK 73139
Cleveland County (405) 692-6333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modebola Fadare's NPI number?

The NPI number for Modebola Fadare is 1063754182. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Modebola Fadare located?

Modebola Fadare practices at 9210 S Western Ave Ste A-21, Oklahoma City, OK 73139. The listed phone number is (405) 246-9259.

What is Modebola Fadare's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Modebola Fadare was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.