Bianca Simone Reed Adetutu, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

202911 Issued in TX

Practice address

3629 McDonald Rd
Tyler, TX 75701-6224

Phone

(430) 322-8087

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

Yes

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.

• Sims Therapy

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1306678446

  Mental Health

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2024.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1346924685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 MCDONALD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016224",
            "telephone_number": "430-322-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 MCDONALD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016224",
            "telephone_number": "430-322-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETUTU",
        "first_name": "BIANCA",
        "middle_name": "SIMONE REED",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "202911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiction Alternatives for Opiate--Heroin, Inc.
• Susan Ann Addie, N.P.
• Jumoke Elizabeth Adedeji
• Neil H Adelman, M.D
• Tequila Adeoye
• Deborah Adeyemo
• Pratik Adhikari, MD
• Adjust Your Health Chiropractic
• Matthew W. Adkins, CRNA
• Alicia Rose Adkison, FNP

• All providers in Tyler, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.