SHANNON ZOFKIE – Counselor, NPI 1164009510

SHANNON ZOFKIE is a healthcare provider. based in Riverside, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178016302 (IL). The NPI Number for SHANNON ZOFKIE is 1164009510

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON ZOFKIE
NPI
1164009510
Phone
(630) 728-1744
Address
3200 HARLEM AVE
Enumeration Date
24 March 2021
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6307281744
Graduation Year
2020 (6 years ago)
PAC ID
3678923034
Group Practice PAC ID
7911272901
Professional Enrollment ID
I20231227001565
Address ID
IL605595508WE414XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SHANNON ZOFKIE

  • 3200 HARLEM AVE

    RIVERSIDE, IL 605462012

    Phone: (630) 728-1744

    Type: Location

  • 125 Windsor Dr

    Oak Brook, IL 605231536

    Phone: (630) 728-1744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231227001565IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911272901View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is SHANNON ZOFKIE's NPI number?
SHANNON ZOFKIE's NPI is 1164009510 — the number used across U.S. healthcare to identify this provider.
Is SHANNON ZOFKIE still an active registrant?
SHANNON ZOFKIE carries an active NPI according to the public dataset.
What clinical focus is listed for SHANNON ZOFKIE?
At a glance, SHANNON ZOFKIE is tied to Counselor. Clinical services aligned with this taxonomy classification.
Is SHANNON ZOFKIE located near Riverside?
SHANNON ZOFKIE currently maps to Riverside, Illinois in this extract.
Does SHANNON ZOFKIE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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