Individual provider Active NPI

Jenikke D Rozell, MS, ALC

  • Mental Health Counselor
  • Montgomery, AL
National Provider Identifier
1366069528
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3053A Issued in AL
Practice address
4135 Carmichael Rd Ste 320
Montgomery, AL 36106-3605
Phone
(334) 592-5777
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 C3053A AL Primary

Addresses

Primary practice location

4135 Carmichael Rd Ste 320
Montgomery, AL 36106-3605

Mailing address

4135 Carmichael Rd Ste 320
Montgomery, AL 36106-3605
Phone (334) 592-5777

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C3053AALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1366069528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 CARMICHAEL RD STE 320",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063605",
            "telephone_number": "334-592-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 CARMICHAEL RD STE 320",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063605",
            "telephone_number": "334-592-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "JENIKKE",
        "middle_name": "D",
        "credential": "MS, ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.