John A Adegboye, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011931 Issued in GA

Practice address

3300 Old Milton Pkwy Ste 175
Alpharetta, GA 30005-2460

Phone

(404) 593-9348

NPI assigned

Dec 26, 2020

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: georgiabehavioralhealthprofessionals.johnadegboye@124220.advancedmd-direct.com

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.

• A Healing Mind Psychotherapy

  • Adult Mental Health Clinic/Center
  • Canton, GA
  • NPI 1912791674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639766553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 GARDENSIDE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300040012",
            "telephone_number": "404-593-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OLD MILTON PKWY STE 175",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052460",
            "telephone_number": "404-593-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBOYE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swetha Addagatla
• Jennifer Addis
• Abiodun Adebisi
• Julius Kolawole Adebisi, MD
• Adesola Adebunmi
• Emiliya Adelson, PH.D.
• Oluwatitomi Adeyemi, MA,BCBA
• Vincentia Asantewah Adjei, NP
• Adler Physical Therapy & Rehabilitation, Dba Adler Physical Therapy
• Salpi Adrouny, MD

• Professional Counselor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.