Active NPI
Wasilat A Adeoluwa, MS
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1619782455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4010 Hodges St Apt 17
Lake Charles, LA 70605-2905 - Phone
- (229) 444-7772
- NPI assigned
- Feb 10, 2025
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4010 Hodges St Apt 17
Lake Charles, LA 70605-2905
Mailing address
4010 Hodges St Apt 17
Lake Charles, LA 70605-2905
Phone (229) 444-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1619782455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 HODGES ST APT 17",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052905",
"telephone_number": "229-444-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 HODGES ST APT 17",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052905",
"telephone_number": "229-444-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEOLUWA",
"first_name": "WASILAT",
"middle_name": "A",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Lynn Adams
- Michael Shelton Adams, CRNA
- Albertha J Adcock, CAC
- Emilie Anne Adekanbi, FNP-C
- Ashton Adekunle Adekanmbi, MD
- Anthony K Adeosun, M.D.
- Advanced Medical & Diagnostic Center
- Advanced Medical and Chiropractic
- Advanced Medical Equipment and Supplies, LLC
- Advanced Ortho Rehab, P.a. (Human Performance: a Wellness & Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.