Adekunbi Afusat Olukoya, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60214321 Issued in WA

Practice address

8625 Evergreen Way Ste 108
Everett, WA 98208-2647

Phone

(425) 320-1499

Fax

(425) 265-1671

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adekunbi Afusat Elegushi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1982152955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 EVERGREEN WAY STE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082647",
            "telephone_number": "425-320-1499",
            "fax_number": "425-265-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 EVERGREEN WAY STE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082647",
            "telephone_number": "425-320-1499",
            "fax_number": "425-265-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKOYA",
        "first_name": "ADEKUNBI",
        "middle_name": "AFUSAT",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60214321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEKUNBI",
            "last_name": "ELEGUSHI",
            "middle_name": "AFUSAT",
            "credential": "CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Olson, MD
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• Angela Michelle Olszewski, R.D., C.D.
• Nancy Dayo Oluoch, NO
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• Amanda Lea Omamo
• Fetiya Abdo Omer, PHARMD

• Addiction (Substance Use Disorder) Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.