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Modebola Fadare
NPI 1063754182 · on the registry since 2013 · sole proprietor
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Conviction of program-related crimes
- Authority
- Section 1128a1 · mandatory · 5 years minimum
- Excluded
- 2019-06-20
- Recorded as
- Counselor
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 9210 S Western Ave
Ste A-21
Oklahoma City, OK 73139 - Phone
- (405) 246-9259
- Fax
- (405) 606-7893
- Organisation at this address
- Genesi Llc
Gold Team Llc
Tasel Health Llc
Dungarvin Oklahoma Llc
Dungarvin Oklahoma LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Also registered as
- Rehabilitation Practitioner
Professional Counselor - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma