OLUSHOLA OYETOKUNBOH BAKARE
NPI 1598031031
Counselor - Mental Health in Bridgeport, CT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 29, 2012PECOS Enrolled

170 BENNETT ST, BRIDGEPORT, CT 06605(203) 330-6790(203) 330-6756 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 21, 2023, Dec 29, 2016 (2 updates tracked since 2016).

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About Olushola Oyetokunboh Bakare NPPES

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

OLUSHOLA OYETOKUNBOH BAKARE (NPI 1598031031) is an individual mental health provider in Bridgeport, Connecticut and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1598031031

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameOLUSHOLA OYETOKUNBOH BAKARE

Location Address170 BENNETT STBridgeport, CT 06605-2901

Mailing Address93 Greenleaf AveWaterbury, CT 06705-2712 · (203) 510-2605

Phone(203) 330-6790

Fax(203) 330-6756

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 29, 2012

Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1598031031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

170 BENNETT ST, Bridgeport, CT 06605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Harvard Pilgrim Health Care, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olushola Oyetokunboh Bakare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173059458

PECOS Enrollment IDI20241210002652, I20241211002385, I20241223000280, I20241223001134, I20250528000675, I20251021002893

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.