Individual provider Active NPI

Adeyinka R Ososanya, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1467914127
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177391 Issued in VA
Practice address
10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9276
Phone
(804) 207-6737
Fax
(804) 977-6365
NPI assigned
Apr 2, 2019
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177391 VA Primary
Registered Nurse 163W00000X 0001201322 VA

Addresses

Primary practice location

10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9276

Mailing address

10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9276
Phone (804) 207-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030000580 VA Practitioner - Nurse Practitioner 6406202381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

5360 Discovery Park Blvd
Suite 201
Williamsburg, VA 23188-2860
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024177391VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Oct 9, 2023 Accepting new patients

Locations

10900 Nuckols Rd
Ste 100
Glen Allen, VA 23060
Phone (804) 215-3839

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

5360 Discovery Park Blvd
Ste 201
Williamsburg, VA 23188
Phone (804) 374-8112

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.adeyinkaososanya@134000.advancedmd-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1467914127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609276",
            "telephone_number": "804-207-6737",
            "fax_number": "804-977-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609276",
            "telephone_number": "804-207-6737",
            "fax_number": "804-977-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOSANYA",
        "first_name": "ADEYINKA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177391",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001201322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.