Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON ZOFKIE
NPI 1164009510
Counselor - Professional in Riverside, IL

Active since March 24, 2021PECOS Enrolled
3200 HARLEM AVE, RIVERSIDE, IL 60546(630) 728-1744 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Mar 24, 2021 (2 updates tracked since 2021).

About Shannon Zofkie NPPES

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

SHANNON ZOFKIE (NPI 1164009510) is an individual professional provider in Riverside, Illinois, licensed in Illinois (180.015591) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Brook, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164009510
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON ZOFKIE
Location Address3200 HARLEM AVERiverside, IL 60546-2012
Mailing Address3200 Harlem AveRiverside, IL 60546-2012 · (630) 728-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2021
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1164009510 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 IL · 180.015591
3200 HARLEM AVE, Riverside, IL 60546

Secondary Practice Location 1

Location 1125 Windsor DrOak Brook, IL 60523-1536 · Phone (630) 728-1744

Accepted Insurance

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

Shannon Zofkie 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 ID3678923034
PECOS Enrollment IDI20231227001565
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 Shannon Zofkie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
414 PLAZA DR STE 301
Westmont, IL 60559
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group

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 12

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

Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Social Worker
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Mental Health)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546

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 Shannon Zofkie's NPI number?

The NPI number for Shannon Zofkie is 1164009510. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Shannon Zofkie located?

Shannon Zofkie practices at 3200 Harlem Ave, Riverside, IL 60546. The listed phone number is (630) 728-1744.

What is Shannon Zofkie's specialty?

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

Is Shannon Zofkie enrolled in Medicare?

Yes. Shannon Zofkie 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 Shannon Zofkie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Zofkie reassigns Medicare benefits to Grace Integrated, LLC (Westmont, IL). 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 Shannon Zofkie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Zofkie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shannon Zofkie 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 Shannon Zofkie was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.