ROSELINE OGHOMWEN SHOFOLU
NPI 1891349320
Counselor in Jacksonville, FL

Q: What is Roseline Shofolu's NPI number?

The NPI number for Roseline Shofolu is 1891349320. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Q: What is Roseline Shofolu's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Roseline Shofolu was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 01, 2019PECOS EnrolledAccepts Medicare Assignment

555 STOCKTON ST, JACKSONVILLE, FL 32204(904) 387-4661 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roseline Oghomwen Shofolu NPPES

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

ROSELINE OGHOMWEN SHOFOLU (NPI 1891349320) is an individual counselor in Jacksonville, Florida and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891349320

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameROSELINE OGHOMWEN SHOFOLU

Location Address555 STOCKTON STJacksonville, FL 32204-2534

Mailing Address555 Stockton StJacksonville, FL 32204-2534 · (904) 387-4661

Phone(904) 387-4661

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 1, 2019

✔ NPI 1891349320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

555 STOCKTON ST, Jacksonville, FL 32204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Roseline Oghomwen Shofolu 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 ID1355835760

PECOS Enrollment IDI20251212002370

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.

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