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ADEOLA ADEFOWOJU GBENRO LPC
NPI 1669966024
Counselor - Mental Health in Duluth, GA

Active since June 19, 2018PECOS Enrolled
6115 ABBOTTS BRIDGE RD APT 403, DULUTH, GA 30097(678) 338-0104 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, May 29, 2025, Jul 22, 2024 and 1 more (4 updates tracked since 2018).

About Adeola Adefowoju Gbenro Lpc NPPES

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

ADEOLA ADEFOWOJU GBENRO LPC (NPI 1669966024) is an individual mental health provider in Duluth, Georgia, licensed in Georgia (LPC009220) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669966024
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameADEOLA ADEFOWOJU GBENROCredential: LPC
Location Address6115 ABBOTTS BRIDGE RD APT 403Duluth, GA 30097-5753
Mailing Address6115 Abbotts Bridge Rd Apt 403Duluth, GA 30097-5753 · (678) 338-0104
Phone(678) 338-0104
Sole ProprietorYes
Enumeration DateJune 19, 2018
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1669966024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in GA · LPC009220✔ Licensed in FL · MH25591
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10350 (SC), 37PC01196000 (NJ)
6115 ABBOTTS BRIDGE RD APT 403, Duluth, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adeola Adefowoju Gbenro Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Adeola Gbenro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA
328 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Brave Health Medical Group PA
616 mi
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
NPI 1225669161 (305) 902-6347
Grow Healthcare Group PA
618 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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 Adeola Gbenro's NPI number?

The NPI number for Adeola Gbenro is 1669966024. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Adeola Gbenro located?

Adeola Gbenro practices at 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097. The listed phone number is (678) 338-0104.

What is Adeola Gbenro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Adeola Gbenro enrolled in Medicare?

Yes. Adeola Gbenro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adeola Gbenro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeola Gbenro reassigns Medicare benefits to 3 organizations: Mental Health Specialty Group PA (Durham, NC), Brave Health Medical Group PA (Miami, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Adeola Gbenro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adeola Gbenro accept?

Health plans from Alliant Health Plans, Inc., CareSource and UnitedHealthcare list Adeola Gbenro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adeola Gbenro was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.