Individual provider Active NPI

Rhonda L Rhoden, LPCC-S

  • Professional Counselor
  • Mount Vernon, OH
National Provider Identifier
1326116732
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1200316-SUPV Issued in OH
Practice address
17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone
(740) 392-1450
NPI assigned
Dec 1, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 57721507 ND
Professional Counselor 101YP2500X E.1200316-SUPV OH Primary
Case Manager/Care Coordinator 171M00000X E.1200316-SUPV OH

Addresses

Primary practice location

17606 Coshocton Rd
Mount Vernon, OH 43050-9218

Mailing address

17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone (740) 392-1450

Other practice location 1

300 13th Ave W
Ste 1
Dickinson, ND 58601-4879
Phone (701) 227-7524

Other practice location 2

74 S 2nd St
Newark, OH 43055-5415
Phone (740) 670-8999

Other identifiers 3

IdentifierTypeStateIssuer
54523MedicaidND
28856OtherNDBC/BS
2615030MedicaidOH

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

LicenseStateTypeSpecialty
57721507NDMDCounselor
E.1200316-SUPVOHMDCase Manager/Care Coordinator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1326116732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 COSHOCTON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509218",
            "telephone_number": "740-392-1450",
            "fax_number": "701-227-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17606 COSHOCTON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509218",
            "telephone_number": "740-392-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 13th Ave W",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014879",
            "country_code": "US",
            "telephone_number": "701-227-7524",
            "fax_number": "701-227-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430555415",
            "country_code": "US",
            "telephone_number": "740-670-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "RHONDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "57721507",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200316-SUPV",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "E.1200316-SUPV",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54523",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "28856",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2615030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.