Active NPI
Debora Van Romer, LPC
- Mental Health Counselor
- Mansfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0701076
- Practice address
- 151 Marion Ave
Mansfield, OH 44903-2223 - Phone
- (419) 774-9969
- Fax
- (419) 756-5642
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C0701076 | OH | Primary |
Addresses
Primary practice location
151 Marion Ave
Mansfield, OH 44903-2223
Mailing address
151 Marion Ave
Mansfield, OH 44903-2223
Phone (419) 774-9969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1890 Northwest Blvd
Suite 140
Columbus, OH 43212-1637
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0701076 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Enlighten Counseling Center, LLC | Current | Accepting new patients |
Locations
1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291
27511 Holiday Ln
Ste 211
Perrysburg, OH 43551
Phone (419) 450-0892
27493 Holiday Ln
Ste 202
Perrysburg, OH 43551
Phone (419) 461-4662
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Perrysburg, OH
- NPI 1306550819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1013246826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 MARION AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032223",
"telephone_number": "419-774-9969",
"fax_number": "419-756-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MARION AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032223",
"telephone_number": "419-774-9969",
"fax_number": "419-756-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ROMER",
"first_name": "DEBORA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C0701076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.