Ayowole Adeoti, MS. LCDC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

4265 Issued in TX

Practice address

7457 Harwin Dr Ste 303H
Houston, TX 77036-2027

Phone

(832) 649-8038

Fax

(832) 831-1655

NPI assigned

Jan 7, 2020

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• True Outreach Inc.

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
  • NPI 1336641638

  Rehabilitation, Substance Use Disorder

  NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1952941973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 303H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362027",
            "telephone_number": "832-649-3083",
            "fax_number": "832-831-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 303H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362027",
            "telephone_number": "832-649-8038",
            "fax_number": "832-831-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOTI",
        "first_name": "AYOWOLE",
        "credential": "MS. LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336641638",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adeoti56@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6201 Bonhomme Rd Ste 176N",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770364497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adeoti56@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "admin@trueoutreachinc.com",
            "address_1": "7457 Harwin Dr Ste 303H",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770362027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adenrele Olaosun, M.D, P.a
• Olukemi Adentan
• Oluwatosin S Adenuga, MD
• Yusuf Ebrahim Adenwala, M.D.
• Adetola Adeosun
• Mary Adeoye, RN, APRN, PMHNP-BC
• Segun Patrick Adeoye, MD
• Oluseeke Adepoju
• Adept Care Home Health Services LLC
• Denise Aderibigbe

• Substance Use Disorder Rehabilitation Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.