ROSELINE OGHOMWEN SHOFOLU (NPI# 1891349320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891349320 |
| Entity Type | Individual |
| Full Name | ROSELINE OGHOMWEN SHOFOLU |
| Practice Address |
555 Stockton St Jacksonville FL 32204-2534 |
| Practice Telephone | 9043874661 |
| Mailing Telephone | 9043874661 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
555 STOCKTON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305338 | Gateway Community Services Inc | Substance Abuse Rehabilitation Facility | 555 Stockton St, Jacksonville, FL 32204-2534 | 2006-04-14 |
| 1073132577 | Lakeisha Greene | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1700405214 | Sarah Shine | Social Worker | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1477103281 | Christina Cates | Physician Assistant | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-09-13 |
| 1184278749 | Stacey M Grant | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1306490974 | Karla Tandy | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1588218150 | Elizabeth Anne Greenhalgh | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1902450562 | James Price-chandler | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1962056531 | Kimbri Najua Johnson | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1386203818 | Brittany Wilson | Registered Nurse | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.