Oluyemi Samson Adeagbo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.032399 Issued in IL

Practice address

1319 Butterfield Rd Ste 500
Downers Grove, IL 60515-5621

Phone

(414) 690-0069

NPI assigned

Oct 31, 2025

Last updated

Oct 31, 2025By 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 IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orland Park Counselors PCGroup PAC ID 5890233688, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orland Park Counselors PC

  • Counselor
  • Orland Park, IL
  • NPI 1982361408
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1962371740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 KILREA DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621131",
            "telephone_number": "773-681-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BUTTERFIELD RD STE 500",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155621",
            "telephone_number": "414-690-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEAGBO",
        "first_name": "OLUYEMI",
        "middle_name": "SAMSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.032399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ache and Awe Therapy, PLLC
• Jessica Acuna, BCBA
• Dakota Adamec
• Elissa Kim Adatya, M.D.
• Addus Healthcare, Inc.
• Kristine Marie Adrowski, RDN, LDN
• Advanced Headache and Neurocare Clinic
• Advanced Heart Lipid Clinic
• Advantage Physical Therapy Associates, SC
• Adventist Health Partners, Inc (Family Health of Downers Grove)

• Psychiatric/Mental Health Nurse Practitioner in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.