Individual provider Active NPI

Eloise M. Roecker, LCSW

  • Mental Health Counselor
  • Pottstown, PA
National Provider Identifier
1114025632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW015263 Issued in PA
Practice address
2091 E High St
Pottstown, PA 19464
Phone
(610) 970-5234
Fax
(610) 970-0945
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW015263 PA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2091 E High St
Pottstown, PA 19464

Mailing address

94 Center Rd.
Douglassville, PA 19518-9316
Phone (610) 582-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070823000012 PA Practitioner - Clinical Social Worker 1951400811 Reassigns benefits to 2 organizations
I20220203000163 DE Practitioner - Clinical Social Worker 1951400811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234

308 Prospect St
Milton, DE 19968-2230
Phone (610) 970-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015263PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammad Nadeem Shamsi, PC. CurrentSince Jul 1, 2014 Accepting new patients

Locations

1000 Germantown Pike
Ste H4
Plymouth Mtng, PA 19462
Phone (610) 275-0345

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114025632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CENTER RD.",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189316",
            "telephone_number": "610-582-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROECKER",
        "first_name": "ELOISE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015263",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.