EBUN ADERIBOLE LPC
NPI 1629446976
Counselor - Professional in Hamden, CT

Active since September 03, 2015PECOS Enrolled
823 PINE ROCK AVE, HAMDEN, CT 06514(203) 260-0250 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ebun Aderibole Lpc NPPES

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

EBUN ADERIBOLE LPC (NPI 1629446976) is an individual professional provider in Hamden, Connecticut, licensed in Connecticut (3461) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629446976
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBUN ADERIBOLECredential: LPC
Location Address823 PINE ROCK AVEHamden, CT 06514
Mailing Address823 Pine Rock AveHamden, CT 06514-3332 · (203) 260-0250
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 3, 2015
Last NPPES UpdateJuly 4, 2018
✔ NPI 1629446976 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 CT · 3461
823 PINE ROCK AVE, Hamden, CT 06514

Secondary Practice Location 1

Location 1402 E Main St, Waterbury Adult OPWaterbury, CT 06702-1701 · Phone (203) 755-1143 · Fax (203) 753-3274

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebun Aderibole Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739627423
PECOS Enrollment IDI20240813001341
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.

Medicare Billing Reassignment

Medicare enrollment records show Ebun Aderibole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
823 PINE ROCK AVE
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
823 PINE ROCK AVE
HAMDEN, CT 06514

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 Ebun Aderibole's NPI number?

The NPI number for Ebun Aderibole is 1629446976. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Ebun Aderibole located?

Ebun Aderibole practices at 823 Pine Rock Ave, Hamden, CT 06514. The listed phone number is (203) 260-0250.

What is Ebun Aderibole's specialty?

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

Is Ebun Aderibole enrolled in Medicare?

Yes. Ebun Aderibole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebun Aderibole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebun Aderibole reassigns Medicare benefits to Cornerstone Counseling Services LLC (Hamden, CT). 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 Ebun Aderibole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebun Aderibole accept?

Health plans from Anthem Blue Cross and Blue Shield list Ebun Aderibole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebun Aderibole was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.