Active NPI
Amy Susan Roling, LMHC, NCC
- Professional Counselor
- Waverly, IA
National Provider Identifier
1255887170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00785
- Practice address
- 118 1 Street SW
Waverly, IA 50677 - Phone
- (319) 269-8948
- NPI assigned
- Aug 31, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00785 | IA | Primary |
Addresses
Primary practice location
118 1 Street SW
Waverly, IA 50677
Mailing address
220 Oak Wood Cir
Waverly, IA 50677-9254
Phone (319) 269-8948
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 |
|---|---|---|---|
| 00785 | IA | MD | Local Education Agency (LEA) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1255887170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 OAK WOOD CIR",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506779254",
"telephone_number": "319-269-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 1 STREET SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "50677",
"telephone_number": "319-269-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLING",
"first_name": "AMY",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IA",
"license": "00785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.