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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: August 02, 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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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)

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.

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.

What insurance does Omodele Cordero accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare 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.