Active NPI
Olukemi Akinbusuyi, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1619509841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC22081
- Practice address
- 4525 S Lakeshore Dr
Tempe, AZ 85282-8339 - Phone
- (312) 877-7493
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Mesa, AZ
- NPI 1326683376
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4525 S Lakeshore Dr
Suite 102
Tempe, AZ 85282-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251217001800 | AZ | Practitioner - Mental Health Counselor | 8123513207 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC22081 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Sanctuary Health Center | Current | Accepting new patients | |
| Stepsup LLC | Mental Health | Current | Accepting new patients |
Locations
3458 E Southern Ave
Ste 103
Mesa, AZ 85204
Phone (480) 569-3377
4525 S Lakeshore Dr
Ste 102
Tempe, AZ 85282
Phone (480) 572-9759
4525 S Lakeshore Dr
Tempe, AZ 85282
Phone (312) 877-7493
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC22081 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4525 S Lakeshore Dr
Tempe, AZ 85282-8339
Mailing address
4525 S Lakeshore Dr
Tempe, AZ 85282-8339
Phone (312) 877-7493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1619509841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 S LAKESHORE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852828339",
"telephone_number": "312-877-7493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 S LAKESHORE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852828339",
"telephone_number": "312-877-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINBUSUYI",
"first_name": "OLUKEMI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC22081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.