MISS OMOLOLA VICTORIA IMANI MA, LCPC
NPI 1871137638
Counselor - Professional in Baltimore, MD

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment
2225 N CHARLES ST, BALTIMORE, MD 21218(410) 453-9553 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Nov 4, 2019 (2 updates tracked since 2019).

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

NPI1871137638
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS OMOLOLA VICTORIA IMANICredential: MA, LCPC
Location Address2225 N CHARLES STBaltimore, MD 21218-5778
Mailing Address7603 Chert CtGlen Burnie, MD 21060-8741 · (301) 806-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 4, 2019
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
NPI 1871137638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MD · LC12182 Licensed in DC · LGPC00489 Licensed in MD · LGP9449
2225 N CHARLES ST, Baltimore, MD 21218

Secondary Practice Locations 2

Location 14315 Northview DrBowie, MD 20716-2600 · Phone (301) 257-0894
Location 22041 Martin Luther King Jr Ave SEWashington, DC 20020-7024 · Phone (202) 547-8450

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

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.

PECOS PAC ID4385088038
PECOS Enrollment IDI20240221001214
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.

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
189 services39 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
175 services44 patients

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.

Counselor (Mental Health)
2225 N CHARLES ST
BALTIMORE, MD 21218
Counselor (Addiction (Substance Use Disorder))
2225 N CHARLES ST
BALTIMORE, MD 21218
Nurse Practitioner (Psychiatric/Mental Health)
2225 N CHARLES ST
BALTIMORE, MD 21218
Counselor (Mental Health)
2225 N CHARLES ST
BALTIMORE, MD 21218
Nurse Practitioner (Psychiatric/Mental Health)
2225 N CHARLES ST
BALTIMORE, MD 21218
Counselor (Addiction (Substance Use Disorder))
2225 N CHARLES ST
BALTIMORE, MD 21218
Counselor (Professional)
2225 N CHARLES ST
BALTIMORE, MD 21218
Counselor (Addiction (Substance Use Disorder))
2225 N CHARLES ST
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.

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.