Active NPI
Sean Rollason
- Peer Specialist
- Groveport, OH
National Provider Identifier
1285364901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.003270
- Practice address
- 6020 Groveport Rd
Groveport, OH 43125-1005 - Phone
- (614) 567-6274
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.003270 | OH | Primary |
Addresses
Primary practice location
6020 Groveport Rd
Groveport, OH 43125-1005
Mailing address
6020 Groveport Rd
Groveport, OH 43125-1005
Phone (614) 567-6274
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 |
|---|---|---|---|
| APS.003270 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Health LLC | Current | Accepting new patients | |
| Forward Health LLC | Current | Accepting new patients |
Locations
6020 Groveport Rd
Groveport, OH 43125
Phone (614) 567-6274
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1073366100
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1740858182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1285364901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 GROVEPORT RD",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431251005",
"telephone_number": "614-567-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 GROVEPORT RD",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431251005",
"telephone_number": "614-567-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLASON",
"first_name": "SEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.003270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.