Individual provider Active NPI

Michael Rohling, MS, LCPC

  • Mental Health Counselor
  • Carbondale, IL
National Provider Identifier
1356677884
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.001366 Issued in IL
Practice address
400 S Lewis LN
Carbondale, IL 62901-3547
Phone
(618) 519-9900
Fax
(618) 529-1384
NPI assigned
Oct 17, 2009
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.001366 IL Primary

Addresses

Primary practice location

400 S Lewis LN
Carbondale, IL 62901-3547

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-1923
Phone (618) 985-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330001154 IL Practitioner - Mental Health Counselor 9931342623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Therapeutic Education and Career Services IncGroup PAC ID 1355679010, 7 clinicians

Practice addresses (Care Compare)

1001 N Beadle Dr
Suite 203C
Carbondale, IL 62901-1150
Phone (800) 457-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.001366ILMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1356677884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181923",
            "telephone_number": "618-985-8221",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013547",
            "telephone_number": "618-519-9900",
            "fax_number": "618-529-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLING",
        "first_name": "MICHAEL",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-17",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.001366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.