Active NPI
Joseph O Adeosun, QHA
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1982989489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 620562
- Practice address
- 5715 W Alexander Rd
Suite 155
Las Vegas, NV 89130-2800 - Phone
- (702) 586-8693
- Fax
- (702) 476-2690
- NPI assigned
- Oct 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 620562 | NV | Primary |
Addresses
Primary practice location
5715 W Alexander Rd
Suite 155
Las Vegas, NV 89130-2800
Mailing address
4829 Carefree Dr
Las Vegas, NV 89122-7552
Phone (702) 586-8693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7261045 | Other | NV | QBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620562 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1982989489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 CAREFREE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891227552",
"telephone_number": "702-586-8693",
"fax_number": "702-476-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 W ALEXANDER RD",
"address_2": "SUITE 155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302800",
"telephone_number": "702-586-8693",
"fax_number": "702-476-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEOSUN",
"first_name": "JOSEPH",
"middle_name": "O",
"credential": "QHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "620562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QBA",
"identifier": "7261045",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.