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MR. AJIBOLA A OBAJIMI LCPC
NPI 1366936767
Counselor - Professional in Chicago, IL

Active since June 19, 2018PECOS Enrolled
1133 E 83RD ST UNIT 172, CHICAGO, IL 60619(312) 305-1007(773) 207-5335 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2020, Jun 19, 2018 (2 updates tracked since 2018).

About Mr. Ajibola A Obajimi Lcpc NPPES

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

MR. AJIBOLA A OBAJIMI LCPC (NPI 1366936767) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180011550) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366936767
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. AJIBOLA A OBAJIMICredential: LCPC
Location Address1133 E 83RD ST UNIT 172Chicago, IL 60619-6400
Mailing Address1133 E 83rd St Unit 172Chicago, IL 60619-6400 · (312) 305-1007 · Fax (773) 207-5335
Phone(312) 305-1007
Fax(773) 207-5335
Sole ProprietorYes
Enumeration DateJune 19, 2018
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1366936767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180011550
1133 E 83RD ST UNIT 172, Chicago, IL 60619
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ajibola A Obajimi Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

WELLNESS PATH THERAPY CENTER
Counselor (Professional)
1133 E 83RD ST UNIT 172
CHICAGO, IL 60619
Cook County (312) 305-1007

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 Ajibola Obajimi's NPI number?

The NPI number for Ajibola Obajimi is 1366936767. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Ajibola Obajimi located?

Ajibola Obajimi practices at 1133 E 83rd St Unit 172, Chicago, IL 60619. The listed phone number is (312) 305-1007.

What is Ajibola Obajimi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ajibola Obajimi enrolled in Medicare?

Yes. Ajibola Obajimi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajibola Obajimi was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.