SHAMARI COUNSELING AND MENTORING
NPI 1609316058
Counselor - Professional in Johnsburg, IL
About Shamari Counseling And Mentoring NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMARI COUNSELING AND MENTORING (NPI 1609316058) is a healthcare organization registered as a professional in Johnsburg, Illinois and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Round Lake Beach and lists Rachel Margaret Obafemi, Licensed Clinical Professional Coun, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shamari Counseling And Mentoring is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shamari Counseling And Mentoring, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shamari Counseling And Mentoring's NPI number?
The NPI number for Shamari Counseling And Mentoring is 1609316058. It was assigned to this organization in the NPPES registry on March 5, 2017.
Where is Shamari Counseling And Mentoring located?
Shamari Counseling And Mentoring is located at 5050 Johnsburg Rd, Johnsburg, IL 60051. The listed phone number is (224) 308-4108.
What is Shamari Counseling And Mentoring's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shamari Counseling And Mentoring enrolled in Medicare?
Yes. Shamari Counseling And Mentoring is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shamari Counseling And Mentoring?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Shamari Counseling And Mentoring. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shamari Counseling And Mentoring was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Shamari Counseling And Mentoring · NPI 1609316058
Professional organization in Johnsburg, Illinois. Organization record, active in the CMS NPPES registry since March 5, 2017.
## Identity
- **NPI:** 1609316058 (Entity type: Organization)
- **Enumerated:** March 5, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Rachel Obafemi, LICENSED CLINICAL PROFESSIONAL COUN
## Practice location
- **Address:** 5050 JOHNSBURG RD, Johnsburg, IL 60051-7977
- **Phone:** (224) 308-4108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609316058) · Data from the CMS NPPES public registry.