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YETUNDE ANIFOWOSE LPC
NPI 1417489337
Counselor - Professional in Evanston, IL

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
433 DODGE AVE, EVANSTON, IL 60202(708) 724-6565 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Mar 30, 2017 (2 updates tracked since 2017).

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

NPI1417489337
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYETUNDE ANIFOWOSECredential: LPC
Location Address433 DODGE AVEEvanston, IL 60202-3253
Mailing Address433 Dodge AveEvanston, IL 60202-3253
Phone(708) 724-6565
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1417489337 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 · 178.012877
433 DODGE AVE, Evanston, IL 60202
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Other Names 1

Former Name (1)Yetunde Ebiesuwa

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5496291965
PECOS Enrollment IDI20240719002500
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.

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.

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 11 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.