DR. CYNTHIA ADENIYI LPC
NPI 1053432096
Counselor - Professional in Jonesboro, GA

Active since April 03, 2007Opted out of Medicare · through Mar 4, 2028
216 N MCDONOUGH ST, JONESBORO, GA 30236(470) 765-6689 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cynthia Adeniyi Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CYNTHIA ADENIYI LPC (NPI 1053432096) is an individual professional provider in Jonesboro, Georgia, licensed in Georgia (LPC007860) and active in the NPI registry since April 2007. She has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1053432096
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CYNTHIA ADENIYICredential: LPC
Location Address216 N MCDONOUGH STJonesboro, GA 30236-3608
Mailing Address216 N Mcdonough StJonesboro, GA 30236-3608 · (571) 447-2539
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1053432096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC007860
216 N MCDONOUGH ST, Jonesboro, GA 30236

Other Names 1

Former Name (1)Cynthia Buster Lcpc

Other Identifiers 1

Medicaid58956180MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Cynthia Adeniyi Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024
Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Adeniyi's NPI number?

The NPI number for Cynthia Adeniyi is 1053432096. It was assigned to this individual provider in the NPPES registry on April 3, 2007. The provider is also known as Cynthia Buster Lcpc.

Where is Cynthia Adeniyi located?

Cynthia Adeniyi practices at 216 N Mcdonough St, Jonesboro, GA 30236. The listed phone number is (470) 765-6689.

What is Cynthia Adeniyi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cynthia Adeniyi enrolled in Medicare?

No. Cynthia Adeniyi has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cynthia Adeniyi was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.