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SHAQUERA FOWLKES
NPI 1972225977
Counselor - Mental Health in Montclair, NJ

Active since September 15, 2022PECOS Enrolled
41 GLENRIDGE AVE APT 2R, MONTCLAIR, NJ 07042(201) 704-7966 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shaquera Fowlkes NPPES

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

SHAQUERA FOWLKES (NPI 1972225977) is an individual mental health provider in Montclair, New Jersey and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972225977
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAQUERA FOWLKES
Location Address41 GLENRIDGE AVE APT 2RMontclair, NJ 07042-4741
Mailing Address125 Glenridge Ave Unit 1117Montclair, NJ 07042-6842 · (201) 247-6373
Phone(201) 704-7966
Sole ProprietorYes
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1972225977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
41 GLENRIDGE AVE APT 2R, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaquera Fowlkes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Shaquera Fowlkes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valera Medical, P.C.
14 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748
Brave Medical P.C.
21 mi
Community/Behavioral Health
73 MARKET ST FL 3
Yonkers, NY 10710
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Brave Medical PC
  • 54 clinicians in this Medicare group
NPI 1902415318 (305) 902-6347
Professional Medical Concierge Services, PLLC
158 mi
Family Medicine
37 FRIAR TUCK WAY
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1841812310 (518) 238-6028

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shaquera Fowlkes's NPI number?

The NPI number for Shaquera Fowlkes is 1972225977. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Shaquera Fowlkes located?

Shaquera Fowlkes practices at 41 Glenridge Ave Apt 2R, Montclair, NJ 07042. The listed phone number is (201) 704-7966.

What is Shaquera Fowlkes's specialty?

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

Is Shaquera Fowlkes enrolled in Medicare?

Yes. Shaquera Fowlkes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaquera Fowlkes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaquera Fowlkes reassigns Medicare benefits to 3 organizations: Valera Medical, P.C. (Brooklyn, NY), Brave Medical P.C. (Yonkers, NY) and Professional Medical Concierge Services, PLLC (Saratoga Springs, NY). 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 Shaquera Fowlkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaquera Fowlkes was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.