Individual provider Active NPI

Adesola Ojo

  • Professional Counselor
  • Cleveland, TN
National Provider Identifier
1659069839
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92571 Issued in TX
Practice address
3695 Forest LN SE
Cleveland, TN 37323-0330
Phone
(423) 713-8740
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5423 TN
Professional Counselor 101YP2500X 92571 TX Primary

Addresses

Primary practice location

3695 Forest LN SE
Cleveland, TN 37323-0330

Mailing address

3695 Forest LN SE
Cleveland, TN 37323-0330
Phone (423) 713-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250605000797 TX Practitioner - Mental Health Counselor 1052820552 Reassigns benefits to 1 organization
I20260514002808 TN Practitioner - Mental Health Counselor 1052820552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3695 Forest LN SE
Cleveland, TN 37323-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5423TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trupath Counseling PLLC CurrentSince Apr 30, 2023 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jun 3, 2025 Accepting new patients

Locations

480 Central Ave NE
Cleveland, TN 37311
Phone (423) 713-8740

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

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.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1659069839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 FOREST LN SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373230330",
            "telephone_number": "423-713-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 FOREST LN SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373230330",
            "telephone_number": "423-713-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "ADESOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.