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SHANNON ZOFKIE
NPI 1164009510
Counselor in Riverside, IL

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

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 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 counselor 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 Taxonomy101Y00000X
Provider Legal NameSHANNON ZOFKIE
Location Address3200 HARLEM AVERiverside, IL 60546-2012
Mailing Address3200 Harlem AveRiverside, IL 60546-2012 · (630) 728-1744
Phone(630) 728-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2021
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1164009510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.015591
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3200 HARLEM AVE, Riverside, IL 60546
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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.

KEVIN JAMES BRANNICK LPC
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (708) 447-2468
MARGARITA NUNEZ
Social Worker
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
JORDAN GRAUMAN LPC
Counselor (Mental Health)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
MRS. VEDA SIMMONS
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
JENAE ANGELLE HENAO LPC- INTERN
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
MATT MEIER LPC
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
NITHYA KARPAGAVINAYAGAM
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744
ANGELA GARCIA LPC
Counselor (Professional)
3200 HARLEM AVE
RIVERSIDE, IL 60546
Cook County (630) 728-1744

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 with taxonomy code 101Y00000X.

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.

When was this NPI record last updated?

The NPPES record for Shannon Zofkie was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.