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

Q: 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.

Q: What is Sophia Bankole's specialty?

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

Q: 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 19 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.

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: August 02, 2026.

On this page

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 Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, 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 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.

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)