AJIBOLA G ALLI (NPI# 1538654462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538654462 |
| Entity Type | Individual |
| Full Name | AJIBOLA G ALLI |
| Credential | LCADC, CCS, ICADC |
| Practice Address |
15 Hausmann Ct Fl 1 Maplewood NJ 07040 |
| Mailing Address |
15 Hausmann Ct Fl 1 Maplewood NJ 07040-3006 |
| Practice Telephone | 9733809030 |
| Mailing Telephone | 9733809030 |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2018-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00133900 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Huasmann Ct Fl 1, Maplewood, NJ 070403006 | 9733809030 |
| Street Address |
15 HAUSMANN CT FL 1 |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| 1881013316 | Empire Medical Associates PC | Non-Pharmacy Dispensing Site | 264 Boyden Avenue, Maplewood, NJ 07040 | 2014-04-11 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750991204 | Adam Christopher Wright | Counselor | 1675 Beam Ave Ste 200, Maplewood, MN 55109-1479 | 2020-08-08 |
| 1538728670 | Andrea Ward Enos | Counselor | 1983 Sloan Pl Ste 16, Maplewood, MN 55117-2004 | 2019-06-12 |
| 1346704871 | Paul Paladie | Counselor | 2320 Mailand Rd E, Maplewood, MN 55119-6722 | 2019-01-29 |
| 1174095483 | Roxanne Kibben | Counselor | 1695 Edgemont St, Maplewood, MN 55117-2416 | 2018-12-27 |
| 1275823643 | Renee J Most | Counselor | 1453 Eldridge Ave E, Maplewood, MN 55109-3519 | 2011-04-19 |
| 1891907473 | Avalon Ramsey | Counselor | 297 Century Ave S, Maplewood, MN 55119-5206 | 2007-05-04 |
| 1598848939 | Senior Recovery Program | Counselor | 2375 Ariel Ave., Maplewood, MN 55109 | 2006-10-21 |
| 1720685019 | Madeline Schuette | Counselor | 1856 Beam Ave Ste 200, Maplewood, MN 55109-1162 | 2020-10-08 |
| 1760092571 | Sure Directions LLC | Counselor | 2130 Millburn Ave Ste D1, Maplewood, NJ 07040-3749 | 2020-08-06 |
| 1417567876 | Yusuf Nathaniel Shaheed | Counselor | 2130 Millburn Ave Ste D1, Maplewood, NJ 07040-3749 | 2020-07-31 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.