Active NPI
Michael Rose, LPC
- Mental Health Counselor
- Avon, OH
National Provider Identifier
1225744022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2405771
- Practice address
- 38100 Colorado Ave
Avon, OH 44011-1031 - Phone
- (440) 961-1008
- NPI assigned
- Jan 25, 2023
- Last updated
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
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 | C.2405771 | OH | Primary |
Addresses
Primary practice location
38100 Colorado Ave
Avon, OH 44011-1031
Mailing address
8761 Lincolnshire Blvd
Strongsville, OH 44149-1149
Phone (440) 876-3716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2405771 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Happy Place Wellness Center | Counselor | Current | Accepting new patients |
| Imex Inc | Past | Accepting new patients | |
| Moore Counseling & Mediation Services, Inc. | Counselor | Past | Accepting new patients |
Locations
38100 Colorado Ave
Avon, OH 44011
Phone (440) 935-9106
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Avon, OH
- NPI 1154935872
-
- Professional Counselor
- Euclid, OH
- NPI 1235242280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1225744022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8761 LINCOLNSHIRE BLVD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441491149",
"telephone_number": "440-876-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38100 COLORADO AVE",
"city": "AVON",
"state": "OH",
"postal_code": "440111031",
"telephone_number": "440-961-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-25",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2405771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.