Ayoola Fadeyi

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

34147 Issued in GA

Practice address

1446 Bellsmith Dr
Roswell, GA 30076-0921

Phone

(917) 445-2420

NPI assigned

Aug 16, 2016

Reactivated

Nov 5, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beyond the Spectrum ABA Therapy

  • Behavior Analyst
  • Buford, GA
  • NPI 1538984042
  NPD Authorized official
• Beyond the Spectrum ABA Therapy Center, LLC.

  • Behavior Analyst
  • Buford, GA
  • NPI 1831911296
  NPD Authorized official
• Beyond the Spectrum ABA Therapy, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Buford, GA
  • NPI 1912720079
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1154876415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 BELLSMITH DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760921",
            "telephone_number": "917-445-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 BELLSMITH DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760921",
            "telephone_number": "917-445-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEYI",
        "first_name": "AYOOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-11-05",
        "certification_date": "2020-08-07",
        "deactivation_date": "2020-08-07",
        "reactivation_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "GA",
            "license": "34147",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "055852853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expansion Counseling Services, LLC
• Expansion Guidance Services
• Eye Optique, Inc.
• Ugochi Gucci Ezeala, M.D., M.P.H.
• Marissa Ezell, LCSW, RPT
• Susan Beth Fages, LIC-A
• Fagin Associates
• Victoria Catherine Fahy-Kassay, LCSW
• Rodrigo Falcao, M.D.
• Ellisa Falkenstein, OT

• Rehabilitation Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Rehabilitation Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.