Active NPI
Niny Fernanda Rosso-Reyes, LSW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1225521875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901829
- Practice address
- 2300 W. Broad Street
Columbus, OH 43204-3783 - Phone
- (614) 645-2300
- Fax
- (614) 645-2333
- NPI assigned
- Jun 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S1500381 | OH | |
| Clinical Social Worker | 1041C0700X | I.1901829 | OH | Primary |
Addresses
Primary practice location
2300 W. Broad Street
Columbus, OH 43204-3783
Mailing address
2780 Airport Dr Ste 100
Columbus, OH 43219-2289
Phone (614) 859-1906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1500381 | OH | MD | Mental Health Counselor |
| I.1901829 | OH | MD | Clinical Social Worker |
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": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1225521875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 AIRPORT DR STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432192289",
"telephone_number": "614-859-1906",
"fax_number": "614-645-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W. BROAD STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432043783",
"telephone_number": "614-645-2300",
"fax_number": "614-645-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSO-REYES",
"first_name": "NINY",
"middle_name": "FERNANDA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S1500381",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.