JOSEPHINE IBISAGBA
NPI 1376147942
Counselor - Mental Health in Jacksonville, FL
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 and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Josephine Ibisagba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
What insurance does Josephine Ibisagba accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 16 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.
# Josephine Ibisagba · NPI 1376147942
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since November 24, 2020.
## Identity
- **NPI:** 1376147942 (Entity type: Individual)
- **Enumerated:** November 24, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH18616 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12412 SAN JOSE BLVD STE 304, Jacksonville, FL 32223-8620
- **Phone:** (904) 428-8650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376147942) · Data from the CMS NPPES public registry.