Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roseline Oghomwen Shofolu

Individual provider Mental Health Counselor · NPI 1891349320

Roseline Oghomwen Shofolu is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2011, 15 years ago. Accepts Medicare assignment.

Years since qualifying
15
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

555 Stockton St
Jacksonville, FL 32204-2534
Phone: (904) 387-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1891349320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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