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JOHN A ADEGBOYE LPC
NPI 1639766553
Counselor - Professional in Alpharetta, GA

Active since December 26, 2020PECOS EnrolledAccepts Medicare Assignment
3300 OLD MILTON PKWY STE 175, ALPHARETTA, GA 30005(404) 593-9348 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Dec 26, 2020 (2 updates tracked since 2020).

About John A Adegboye Lpc NPPES

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

JOHN A ADEGBOYE LPC (NPI 1639766553) is an individual professional provider in Alpharetta, Georgia, licensed in Georgia (LPC011931) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639766553
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN A ADEGBOYECredential: LPC
Location Address3300 OLD MILTON PKWY STE 175Alpharetta, GA 30005-2460
Mailing Address3730 Gardenside CtAlpharetta, GA 30004-0012 · (404) 593-9348
Phone(404) 593-9348
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 26, 2020
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1639766553 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 · LPC011931
3300 OLD MILTON PKWY STE 175, Alpharetta, GA 30005
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John A Adegboye Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921450107
PECOS Enrollment IDI20240124000284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Adegboye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A Healing Mind Psychotherapy
14 mi
Adult Mental Health
106 BELMONT DR
Canton, GA 30115
  • Reassigned Medicare billing, Georgia enrollment
NPI 1912791674 (404) 593-9348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHEEBA RAHMAN MD
Psychiatry & Neurology (Psychiatry)
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
MONIQUE GONCALVES CORPENING
Behavior Analyst
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 833-1313
MEGHAN LOUISE SUTTON LMFT
Marriage & Family Therapist
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
JANI DALE HOWINGTON
Behavior Analyst
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
RITA UCHE FORD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
OMEGA SHANTA BROWN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
MRS. JACQUELINE LAVINIA WILLIAMS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (470) 568-2010
MICHAEL J. CHARNLEY LPC
Counselor (Professional)
3300 OLD MILTON PKWY STE 175
ALPHARETTA, GA 30005
Fulton County (770) 389-8100

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 John Adegboye's NPI number?

The NPI number for John Adegboye is 1639766553. It was assigned to this individual provider in the NPPES registry on December 26, 2020.

Where is John Adegboye located?

John Adegboye practices at 3300 Old Milton Pkwy Ste 175, Alpharetta, GA 30005. The listed phone number is (404) 593-9348.

What is John Adegboye's specialty?

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

Is John Adegboye enrolled in Medicare?

Yes. John Adegboye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Adegboye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Adegboye reassigns Medicare benefits to A Healing Mind Psychotherapy (Canton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Adegboye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Adegboye was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.