Individual provider Active NPI

Jean Rossner, LMHC

  • Mental Health Counselor
  • Dorchester, MA
National Provider Identifier
1144349093
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8038 Issued in MA
Practice address
1452 Dorchester Ave
FCBL, 4TH Floor
Dorchester, MA 02122-1386
Phone
(617) 520-4557
Fax
(617) 249-1973
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8038 MA Primary

Addresses

Primary practice location

1452 Dorchester Ave
FCBL, 4TH Floor
Dorchester, MA 02122-1386

Mailing address

PO Box 260373
Mattapan, MA 02126-0007
Phone (617) 520-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240207002813 MA Practitioner - Mental Health Counselor 1951744820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Community Care IncGroup PAC ID 6709799885, 117 clinicians

Practice addresses (Care Compare)

64 Eldredge St
Newton, MA 02458-2017
Phone (617) 969-4925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8038MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

64 Eldredge St
Newtonville, MA 02458
Phone (617) 969-4925

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

Organizations & group practices 1

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1144349093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260373",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021260007",
            "telephone_number": "617-520-4557",
            "fax_number": "617-249-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 DORCHESTER AVE",
            "address_2": "FCBL, 4TH FLOOR",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221386",
            "telephone_number": "617-520-4557",
            "fax_number": "617-249-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSNER",
        "first_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.