Active NPI
Roberta M Wolschon, LPC NCC
- Counselor
- Ira, MI
National Provider Identifier
1013210087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401011066
- Practice address
- 9844 Dixie Hwy
Ira, MI 48023-2813 - Phone
- (586) 716-7600
- Fax
- (586) 716-7659
- NPI assigned
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401011066 | MI | Primary |
Addresses
Primary practice location
9844 Dixie Hwy
Ira, MI 48023-2813
Mailing address
9844 Dixie Hwy
Fair Haven, MI 48023
Phone (586) 716-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Oakland Univ, William Beaumont School of Medicine, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9844 Dixie Hwy
Ira, MI 48023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011066 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Counseling Center PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ira, MI
- NPI 1275839169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1013210087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9844 DIXIE HWY",
"city": "FAIR HAVEN",
"state": "MI",
"postal_code": "48023",
"telephone_number": "586-716-7600",
"fax_number": "586-716-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9844 DIXIE HWY",
"city": "IRA",
"state": "MI",
"postal_code": "480232813",
"telephone_number": "586-716-7600",
"fax_number": "586-716-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLSCHON",
"first_name": "ROBERTA",
"middle_name": "M",
"credential": "LPC NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401011066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ira, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.