Adebola Adegbola Soyemi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT142503 Issued in CA

Practice address

11683 Carly CT
Riverside, CA 92503-5984

Phone

(909) 534-5739

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

No

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.

• Childnet Youth and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1275991465
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1568963445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70904",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925130904",
            "telephone_number": "909-534-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11683 CARLY CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035984",
            "telephone_number": "909-534-5739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3877 12th St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925013578",
            "country_code": "US",
            "telephone_number": "951-247-6064",
            "fax_number": "951-242-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOYEMI",
        "first_name": "ADEBOLA",
        "middle_name": "ADEGBOLA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT142503",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Transplantation Institute
• Southern California Vein and Aesthetics LLC
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Respiratory Inc
• Southland Spine & Rehabilitation Med Ctr
• Aderayo Soyemi
• Maya C Spaeth, MD, BSC, FACS, CAFP
• Nichol Marie Spainhower
• Austin Baylie Spangler
• Jack Robert Sparagna I

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.