YETUNDE ANIFOWOSE LPC
NPI 1417489337
Counselor - Professional in Evanston, IL
About Yetunde Anifowose Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YETUNDE ANIFOWOSE LPC (NPI 1417489337) is an individual professional provider in Evanston, Illinois, licensed in Illinois (178.012877) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Yetunde Anifowose Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Yetunde Anifowose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsburgh, PA 15213
- Reassigned Medicare billing, Pennsylvania enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yetunde Anifowose's NPI number?
The NPI number for Yetunde Anifowose is 1417489337. It was assigned to this individual provider in the NPPES registry on March 30, 2017. The provider is also known as Yetunde Ebiesuwa.
Where is Yetunde Anifowose located?
Yetunde Anifowose practices at 433 Dodge Ave, Evanston, IL 60202. The listed phone number is (708) 724-6565.
What is Yetunde Anifowose's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Yetunde Anifowose enrolled in Medicare?
Yes. Yetunde Anifowose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Yetunde Anifowose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yetunde Anifowose reassigns Medicare benefits to Upmc Advanced Practice Providers (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yetunde Anifowose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yetunde Anifowose was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Yetunde Anifowose, LPC · NPI 1417489337
Professional provider in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1417489337 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.012877 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 433 DODGE AVE, Evanston, IL 60202-3253
- **Phone:** (708) 724-6565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Upmc Advanced Practice Providers (NPI 1457769176, Pittsburgh, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417489337) · Data from the CMS NPPES public registry.