Active NPI
Ivette Rolon
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1215090923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Fordham, Tremont
260 East 188TH Street
Bronx, NY 10458-5302 - Phone
- (718) 960-0477
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Fordham, Tremont
260 East 188TH Street
Bronx, NY 10458-5302
Mailing address
410 East 105TH Street Apt. 4C
New York, NY 10029
Phone (917) 492-2572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZP60477F | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215090923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 EAST 105TH STREET APT. 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "917-492-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORDHAM, TREMONT",
"address_2": "260 EAST 188TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104585302",
"telephone_number": "718-960-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLON",
"first_name": "IVETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZP60477F",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.