ROSELINE OGHOMWEN SHOFOLU
NPI 1891349320
Counselor in Jacksonville, FL

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: October 25, 2026.

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
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

Accepted 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Roseline Shofolu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Point of Service
623 BEECHWOOD STRRET
Jacksonville, FL 32206
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

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.

Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor
555 STOCKTON ST
JACKSONVILLE, FL 32204

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 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.

Where is Roseline Shofolu located?

Roseline Shofolu practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 387-4661.

What is Roseline Shofolu's specialty?

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

Is Roseline Shofolu enrolled in Medicare?

Yes. Roseline Shofolu 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 organization bills Medicare for Roseline Shofolu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roseline Shofolu reassigns Medicare benefits to Community Rehabilitation Center Inc (Jacksonville, 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 Roseline Shofolu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roseline Shofolu accept?

Health plans from Oscar Health Maintenance Organization of Florida list Roseline Shofolu 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 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.