OMORUYI EPHRAIM OKUNDAYE MSW, LCSW-C, LCADC
NPI 1871900845
Counselor - Mental Health in Baltimore, MD
About Omoruyi Ephraim Okundaye Msw, Lcsw-c, Lcadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMORUYI EPHRAIM OKUNDAYE MSW, LCSW-C, LCADC (NPI 1871900845) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LC17618) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 3
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
Omoruyi Ephraim Okundaye Msw, Lcsw-c, Lcadc 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
2Medicare enrollment records show Omoruyi Okundaye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Baltimore Medical System, Inc.
- 243 clinicians in this Medicare group
Riverdale, MD 20737
- Reassigned Medicare billing, Maryland enrollment
- 91 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Omoruyi Okundaye's NPI number?
The NPI number for Omoruyi Okundaye is 1871900845. It was assigned to this individual provider in the NPPES registry on July 22, 2014.
Where is Omoruyi Okundaye located?
Omoruyi Okundaye practices at 16 W 25th St, Baltimore, MD 21218. The listed phone number is (443) 682-5807.
What is Omoruyi Okundaye's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Omoruyi Okundaye enrolled in Medicare?
Yes. Omoruyi Okundaye 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 Omoruyi Okundaye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omoruyi Okundaye reassigns Medicare benefits to 2 organizations: Baltimore Medical Systems, Inc. (Baltimore, MD) and Supportive Care Of Maryland LLC (Riverdale, 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 Omoruyi Okundaye'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 Omoruyi Okundaye was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC · NPI 1871900845
Mental Health provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since July 22, 2014.
## Identity
- **NPI:** 1871900845 (Entity type: Individual)
- **Enumerated:** July 22, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LC17618 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16 W 25TH ST, Baltimore, MD 21218-5002
- **Phone:** (443) 682-5807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baltimore Medical Systems, Inc. (NPI 1164138152, Baltimore, MD); Supportive Care Of Maryland LLC (NPI 1447802616, Riverdale, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 22, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1871900845) · Data from the CMS NPPES public registry.