Justin O Adekoya, LCSW
Individual provider Active NPI Mental Health Counselor · Louisville, KY
NPI 1790658136 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1790658136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 255456 (KY)
- Practice address
- 312 S 4TH St Ste 700
Louisville, KY 40202-3046 - Phone
- (646) 941-7645
- Fax
- (929) 596-7897
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 255456 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 255456 | KY | Yes |
Addresses
Primary practice location
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Mailing address
PO Box 670296
Dallas, TX 75267-0296
Phone (646) 941-7645
Other providers in Louisville, KY
- Michelle Lee Adcock
- Mouhamad Addas
- Addiction & Mental Health Services Inc
- Addiction Care Plus, LLC
- Donia Addison
- Mary Adelman
- Katharine E Adelstein
- Opeyemi Adelugba
- Abdulaziz Aden
- Janelle Marie Fassbender Adeniran
All providers in Louisville, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 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.