Individual provider Active NPI

Rhonda M Bogenschutz, LPC

  • Mental Health Counselor
  • Fairfield, OH
National Provider Identifier
1093278525
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1801071 Issued in OH
Practice address
311 Nilles Rd Ste a
Fairfield, OH 45014-2621
Phone
(502) 758-0302
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 174524 KY
Mental Health Counselor 101YM0800X 1801071 OH Primary

Addresses

Primary practice location

311 Nilles Rd Ste a
Fairfield, OH 45014-2621

Mailing address

5579 Chateau Way
Fairfield, OH 45014-3215

Other practice location 1

1949 Goldsmith Ln Ste 103
Louisville, KY 40218-3096
Phone (502) 758-0302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
174524KYMDMental Health Counselor
1801071OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1093278525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 CHATEAU WAY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NILLES RD STE A",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142621",
            "telephone_number": "502-758-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Goldsmith Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183096",
            "country_code": "US",
            "telephone_number": "502-758-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGENSCHUTZ",
        "first_name": "RHONDA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "174524",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1801071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.