Active NPI
Adisatu Adeyemi
- Mental Health Counselor
- Columbia, MD
National Provider Identifier
1013436070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC10765
- Practice address
- 5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264 - Phone
- (240) 636-7405
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC10765 | MD | Primary |
Addresses
Primary practice location
5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264
Mailing address
5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264
Phone (240) 636-7405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC10765 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1013436070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 TWIN KNOLLS RD STE 213",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453264",
"telephone_number": "240-636-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 TWIN KNOLLS RD STE 213",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453264",
"telephone_number": "240-636-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYEMI",
"first_name": "ADISATU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC10765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.