Michael Edmund Roden, MED, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E4333 Issued in OH

Practice address

13299 Summerfield Way
Pickerington, OH 43147-9251

Phone

(614) 828-8453

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Michael Roden Counseling Sercices

  • Mental Health Counselor
  • Pickerington, OH
  • NPI 1902509888
  NPD Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1063407369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CROSS ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471260",
            "telephone_number": "614-828-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13299 SUMMERFIELD WAY",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479251",
            "telephone_number": "614-828-8453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1592 Granville Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431301076",
            "country_code": "US",
            "telephone_number": "740-687-0835",
            "fax_number": "740-687-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODEN",
        "first_name": "MICHAEL",
        "middle_name": "EDMUND",
        "name_prefix": "Mr.",
        "credential": "MED, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E4333",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4333",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E4333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.