Individual provider Active NPI

Jamarri M Rollocks, CAADC, MATS, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1033688403
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012067 Issued in GA
Practice address
313 Price PL Ste 208
Madison, WI 53705-3262
Phone
(608) 571-3866
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C0261 GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC012067 GA Primary

Addresses

Primary practice location

313 Price PL Ste 208
Madison, WI 53705-3262

Mailing address

313 Price PL Ste 208
Madison, WI 53705-3262
Phone (608) 571-3866

Other practice location 1

2948 Huntcliff Dr
Marietta, GA 30066-3547
Phone (404) 944-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001503 WI Practitioner - Mental Health Counselor 1759826803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empower Recovery LLCGroup PAC ID 6305292574, 6 clinicians

Practice addresses (Care Compare)

313 Price PL
Suite 208
Madison, WI 53705-3262
Phone (608) 571-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0261GAMDAddiction (Substance Use Disorder) Counselor
LPC012067GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Recovery LLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
In Search of Wellness CurrentSince Jun 1, 2024 Accepting new patients
Live Well Behavioral Medicine P.C. Multi-Specialty Current Accepting new patients

Locations

313 Price Pl
Ste 208
Madison, WI 53705
Phone (608) 571-3866

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1033688403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-571-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-571-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2948 Huntcliff Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663547",
            "country_code": "US",
            "telephone_number": "404-944-9425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLOCKS",
        "first_name": "JAMARRI",
        "middle_name": "M",
        "credential": "CAADC, MATS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0261",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.