ADELOWO AMOLE MA, LMHC
NPI 1093444101
Counselor - Mental Health in Coram, NY

Q: What is Adelowo Amole's NPI number?

The NPI number for Adelowo Amole is 1093444101. It was assigned to this individual provider in the NPPES registry on June 6, 2022. The provider is also known as Adelowo Amole Ma, Lmhc.

Q: What is Adelowo Amole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adelowo Amole was last updated on February 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2022PECOS Enrolled

3600 ROUTE 112, CORAM, NY 11727(631) 920-8546(929) 244-4997 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2025, Jan 11, 2025, Aug 21, 2023 and 2 more (5 updates tracked since 2022).

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About Adelowo Amole Ma, Lmhc NPPES

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

ADELOWO AMOLE MA, LMHC (NPI 1093444101) is an individual mental health provider in Coram, New York, licensed in New York (015463) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093444101

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameADELOWO AMOLECredential: MA, LMHC

Location Address3600 ROUTE 112Coram, NY 11727-4116

Mailing Address3600 Route 112Coram, NY 11727-4116 · (631) 920-8546 · Fax (929) 244-4997

Phone(631) 920-8546

Fax(929) 244-4997

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 6, 2022

Last NPPES UpdateFebruary 19, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1093444101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 015463

3600 ROUTE 112, Coram, NY 11727

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Other Names 1

Other Name (5)Adelowo Amole Ma, Lmhc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adelowo Amole Ma, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638696347

PECOS Enrollment IDI20250506003435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

RAQUEL FERNANDES

Counselor (Mental Health)