Miss Omolola Victoria Imani, MA, LCPC in Baltimore, MD

Miss Omolola Victoria Imani, MA, LCPC is a medicare enrolled "Counselor - Professional" provider in Baltimore, Maryland. Her current practice location is 2225 N Charles St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 453-9553.

Miss Omolola Victoria Imani is licensed to practice in Maryland (license number LC12182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871137638.

Contact Information

	Miss Omolola Victoria Imani, MA, LCPC
	2225 N Charles St, Baltimore, MD 21218-5778
	(410) 453-9553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Omolola Victoria Imani
Gender	Female
Speciality	Counselor - Professional
Location	2225 N Charles St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871137638
Provider Enumeration Date: 11/04/2019
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4385088038
Enrollment ID: I20240221001214

Medical Identifiers

Medical identifiers for Miss Omolola Victoria Imani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871137638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LGPC00489 (District Of Columbia)	Secondary
101YP2500X	Counselor - Professional	LGP9449 (Maryland)	Secondary
101YP2500X	Counselor - Professional	LC12182 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Omolola Victoria Imani allows following entities to bill medicare on her behalf.

Entity Name	Way Station Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136

Entity Name	Mosaic Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Omolola Victoria Imani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Omolola Victoria Imani, MA, LCPC 7603 Chert Ct, Glen Burnie, MD 21060-8741 Ph: (301) 806-8012	Miss Omolola Victoria Imani, MA, LCPC 2225 N Charles St, Baltimore, MD 21218-5778 Ph: (410) 453-9553

Reviews and Comments

Counselor in Baltimore, MD

Mrs. Janet Louise Hughes, LCSW-C Counselor Medicare: Medicare Enrolled Practice Location: 1501 S. Clinton St, Mailstop Ct 05-13, Baltimore, MD 21224 Phone: 443-904-1468
Nadine Castro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2225 N Charles St, Baltimore, MD 21218 Phone: 410-366-4360 Fax: 443-830-1521
Jinaki Olatunji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2215 N Charles St, Baltimore, MD 21218 Phone: 443-573-8673
Rachel Sheffel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 Chestnut Ave Fl 2, Baltimore, MD 21211 Phone: 703-371-8581
Tasha Nate Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 E Chase St Ste 1128, Baltimore, MD 21202 Phone: 443-355-3992
Nicholas A Etheridge, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5500 Harford Rd Ste 201, Baltimore, MD 21214 Phone: 667-706-9091
David Christy, LGCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 Maryland Ave Ste 200, Baltimore, MD 21201 Phone: 877-674-2843

Miss Omolola Victoria Imani, MA, LCPC - Medicare Counselor in Baltimore, MD