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OMODELE CORDERO
NPI 1699349910
Counselor - Mental Health in St Petersburg, FL

Active since May 20, 2021PECOS Enrolled
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656(727) 322-2103 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Omodele Cordero NPPES

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

OMODELE CORDERO (NPI 1699349910) is an individual mental health provider in St Petersburg, Florida and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699349910
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOMODELE CORDERO
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing AddressPo Box 10970St Petersburg, FL 33733-0970 · (727) 327-7656 · Fax (727) 322-2103
Phone(727) 327-7656
Fax(727) 322-2103
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1699349910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4024 CENTRAL AVE, St Petersburg, FL 33711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2062932320
PECOS Enrollment IDI20250218001224
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 Omodele Cordero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Bay Area Counseling
26 mi
Mental Health
16502 N DALE MABRY HWY
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1508409319 (727) 732-4305

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 20

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

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Omodele Cordero's NPI number?

The NPI number for Omodele Cordero is 1699349910. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Omodele Cordero located?

Omodele Cordero practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Omodele Cordero's specialty?

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

Is Omodele Cordero enrolled in Medicare?

Yes. Omodele Cordero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omodele Cordero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omodele Cordero reassigns Medicare benefits to Tampa Bay Area Counseling (Tampa, 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 Omodele Cordero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omodele Cordero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Omodele Cordero 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 Omodele Cordero was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.