Individual provider Active NPI

Folashade Adekunle, MA, MED

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1629455704
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
100 S Broad St Ste 1920
Philadelphia, PA 19110-1064
Phone
(267) 838-0066
NPI assigned
Apr 28, 2015
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

100 S Broad St Ste 1920
Philadelphia, PA 19110-1064

Mailing address

100 S Broad St Ste 1920
Philadelphia, PA 19110-1064
Phone (267) 838-0066

Other practice location 1

2369 2nd Ave
New York, NY 10035-3108
Phone (212) 876-2300 ext. 159

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shade@betterlifetherapy.com Direct

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 Arts, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Life Therapy LLC Mental Health CurrentSince Jan 21, 2024 Accepting new patients

Locations

100 S Broad St
Ste 1920
Philadelphia, PA 19110
Phone (267) 566-7087

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1629455704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1920",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101064",
            "telephone_number": "267-838-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1920",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101064",
            "telephone_number": "267-838-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2369 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353108",
            "country_code": "US",
            "telephone_number": "212-876-2300 x159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "FOLASHADE",
        "credential": "MA, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shade@betterlifetherapy.com",
            "affiliation": "N",
            "endpointDescription": "shade@betterlifetherapy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 S Broad St Ste 1920",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191101064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.