Active NPI
Andrew K Rohde, LMFT, LPCC
- Professional Counselor
- Berea, OH
National Provider Identifier
1023462009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2102178
- Practice address
- 398 W Bagley Rd Ste 13
Berea, OH 44017-1312 - Phone
- (440) 970-3790
- Fax
- (440) 527-8043
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2102178 | OH | Primary |
Addresses
Primary practice location
398 W Bagley Rd Ste 13
Berea, OH 44017-1312
Mailing address
7519 Mentor Ave Ste 114
Mentor, OH 44060-5410
Phone (440) 701-6170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0371428 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2102178 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Village Counseling, LLC | Current | Accepting new patients | |
| Insight Counseling and Wellness LLC | Past | Accepting new patients |
Locations
419 Dover Center Rd
Ste 6
Bay Village, OH 44140
Phone (419) 341-9565
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.
-
- Community/Behavioral Health Agency
- Bay Village, OH
- NPI 1396428421
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mentor, OH
- NPI 1255846952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1023462009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7519 MENTOR AVE STE 114",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605410",
"telephone_number": "440-701-6170",
"fax_number": "440-527-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 W BAGLEY RD STE 13",
"city": "BEREA",
"state": "OH",
"postal_code": "440171312",
"telephone_number": "440-970-3790",
"fax_number": "440-527-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "ANDREW",
"middle_name": "K",
"credential": "LMFT, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0371428",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.