JOSEPHINE IBISAGBA
NPI 1376147942
Counselor - Mental Health in Jacksonville, FL

Active since November 24, 2020PECOS Enrolled
12412 SAN JOSE BLVD STE 304, JACKSONVILLE, FL 32223(904) 428-8650 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2025, Nov 15, 2023, May 13, 2022 and 3 more (6 updates tracked since 2020).

About Josephine Ibisagba NPPES

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

JOSEPHINE IBISAGBA (NPI 1376147942) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH18616) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376147942
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPHINE IBISAGBA
Location Address12412 SAN JOSE BLVD STE 304Jacksonville, FL 32223-8620
Mailing Address3238 Stan RdJacksonville, FL 32216-5649 · (904) 428-8650 · Fax (904) 539-5094
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 24, 2020
Last NPPES UpdateApril 9, 20256 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1376147942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18616
12412 SAN JOSE BLVD STE 304, Jacksonville, FL 32223

Secondary Practice Location 1

Location 13238 Stan RdJacksonville, FL 32216-5649 · Phone (904) 428-8650

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josephine Ibisagba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789156019
PECOS Enrollment IDI20260722004050
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 Josephine Ibisagba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
12412 SAN JOSE BLVD STE 304
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment

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 2

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

Counselor (Mental Health)
12412 SAN JOSE BLVD STE 304
JACKSONVILLE, FL 32223
Counselor (Mental Health)
12412 SAN JOSE BLVD STE 304
JACKSONVILLE, FL 32223

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 Josephine Ibisagba's NPI number?

The NPI number for Josephine Ibisagba is 1376147942. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Josephine Ibisagba located?

Josephine Ibisagba practices at 12412 San Jose Blvd Ste 304, Jacksonville, FL 32223. The listed phone number is (904) 428-8650.

What is Josephine Ibisagba's specialty?

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

Is Josephine Ibisagba enrolled in Medicare?

Yes. Josephine Ibisagba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Josephine Ibisagba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josephine Ibisagba reassigns Medicare benefits to Joi Counseling Services (Jacksonville, FL). 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 Josephine Ibisagba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josephine Ibisagba accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Josephine Ibisagba 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 Josephine Ibisagba was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.