Ayodeji Ayoola
Individual provider Active NPI Professional Counselor · Youngtown, AZ
NPI 1750257549 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1750257549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-24285 (AZ)
- Practice address
- 11122 W Alabama Ave Ste E1
Youngtown, AZ 85363-1247 - Phone
- (602) 702-3103
- Fax
- (602) 294-2373
- NPI assigned
- Oct 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-24285 | AZ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-24285 | AZ | |
| Professional Counselor | 101YP2500X | LPC-24285 | AZ | Yes |
Addresses
Primary practice location
11122 W Alabama Ave Ste E1
Youngtown, AZ 85363-1247
Mailing address
11122 W Alabama Ave Ste E1
Youngtown, AZ 85363-1247
Phone (602) 702-3103
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All providers in Youngtown, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.