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SOPHIA BANKOLE IMH
NPI 1780491522
Counselor - Mental Health in Ft Lauderdale, FL

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment
4546 N FEDERAL HWY, FT LAUDERDALE, FL 33308(954) 716-6514(754) 223-2984 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sophia Bankole Imh NPPES

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

SOPHIA BANKOLE IMH (NPI 1780491522) is an individual mental health provider in Ft Lauderdale, Florida, licensed in Florida (IMH23555) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780491522
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSOPHIA BANKOLECredential: IMH
Location Address4546 N FEDERAL HWYFt Lauderdale, FL 33308-5204
Mailing Address4546 N Federal HwyFt Lauderdale, FL 33308-5204 · (954) 716-6514 · Fax (754) 223-2984
Phone(954) 716-6514
Fax(754) 223-2984
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 16, 2024
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1780491522 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 · IMH23555
4546 N FEDERAL HWY, Ft Lauderdale, FL 33308
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Sophia Bankole Imh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204356413
PECOS Enrollment IDI20250218003499
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 Reassignments

2

Medicare enrollment records show Sophia Bankole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theracounsel, Inc.
2.2 mi
Clinical
2808 NE 22ND ST
Ft Lauderdale, FL 33305
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1457460339 (954) 564-9460
Grow Healthcare Group PA
29 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 10

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

MS. HEIDI PINES LCSW
Social Worker (Clinical)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 716-6514
HOUSE OF WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 662-0500
MRS. MICHELLE LEE BLAIR ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 662-0500
ANYWHERE CLINIC MEDICAL PLLC
Psychiatry & Neurology (Psychiatry)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (702) 848-2256
MARISSA ANNE DOVAL LCSW
Social Worker (Clinical)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 261-3591
MICHAEL LAMOTHE LCSW
Social Worker (Clinical)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 716-6514
MS. CARROLL CLAUDETTE MUSZKIEWICZ LCSW
Social Worker (Clinical)
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 716-6514
LEESEP DUNCAN LCSW
Social Worker
4546 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 716-6514

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 Sophia Bankole's NPI number?

The NPI number for Sophia Bankole is 1780491522. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Sophia Bankole located?

Sophia Bankole practices at 4546 N Federal Hwy, Ft Lauderdale, FL 33308. The listed phone number is (954) 716-6514.

What is Sophia Bankole's specialty?

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

Is Sophia Bankole enrolled in Medicare?

Yes. Sophia Bankole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sophia Bankole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Bankole reassigns Medicare benefits to 2 organizations: Theracounsel, Inc. (Ft Lauderdale, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Sophia Bankole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Bankole 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 Sophia Bankole 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 Sophia Bankole was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.