MISS OMOLOLA VICTORIA IMANI MA, LCPC
NPI 1871137638
Counselor - Professional in Baltimore, MD
About Miss Omolola Victoria Imani Ma, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS OMOLOLA VICTORIA IMANI MA, LCPC (NPI 1871137638) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC12182) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Miss Omolola Victoria Imani Ma, Lcpc 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 Reassignments
3Medicare enrollment records show Omolola Imani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21218
- Reassigned Medicare billing, Maryland enrollment
- 143 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Maryland enrollment
- 132 clinicians in this Medicare group
Gaithersburg, MD 20877
- Reassigned Medicare billing, District of Columbia enrollment
- 106 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
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 Omolola Imani's NPI number?
The NPI number for Omolola Imani is 1871137638. It was assigned to this individual provider in the NPPES registry on November 4, 2019.
Where is Omolola Imani located?
Omolola Imani practices at 2225 N Charles St, Baltimore, MD 21218. The listed phone number is (410) 453-9553.
What is Omolola Imani's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Omolola Imani enrolled in Medicare?
Yes. Omolola Imani 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 organizations bill Medicare for Omolola Imani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omolola Imani reassigns Medicare benefits to 3 organizations: Mosaic Community Services, Inc (Baltimore, MD), Way Station Inc (Columbia, MD) and Family Services, Inc (Gaithersburg, MD). Each 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 Omolola Imani'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 Omolola Imani was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Miss Omolola Victoria Imani, MA, LCPC · NPI 1871137638
Professional provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 4, 2019.
## Identity
- **NPI:** 1871137638 (Entity type: Individual)
- **Enumerated:** November 4, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC12182 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2225 N CHARLES ST, Baltimore, MD 21218-5778
- **Phone:** (410) 453-9553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mosaic Community Services, Inc (NPI 1598084626, Baltimore, MD); Way Station Inc (NPI 1104914464, Columbia, MD); Family Services, Inc (NPI 1780641928, Gaithersburg, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871137638) · Data from the CMS NPPES public registry.