Active NPI
Min Seong Roh
- Professional Counselor
- Santa Cruz, CA
National Provider Identifier
1447938956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16499
- Practice address
- 700 Frederick St Ste 103
Santa Cruz, CA 95062-2239 - Phone
- (831) 996-1222
- Fax
- (831) 417-0443
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 16499 | CA | Primary |
Addresses
Primary practice location
700 Frederick St Ste 103
Santa Cruz, CA 95062-2239
Mailing address
700 Frederick St Ste 103
Santa Cruz, CA 95062-2239
Phone (831) 996-1222
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Perspectives Center for Counseling | Current | Accepting new patients | |
| Shine a Light Counseling Center, Inc | Current | Accepting new patients |
Locations
700 Frederick St
Ste 103
Santa Cruz, CA 95062
Phone (831) 222-0111
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.
-
- Marriage & Family Therapist
- Santa Cruz, CA
- NPI 1588498455
-
- Community/Behavioral Health Agency
- Watsonville, CA
- NPI 1689058349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1447938956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 FREDERICK ST STE 103",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622239",
"telephone_number": "831-996-1222",
"fax_number": "831-417-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FREDERICK ST STE 103",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622239",
"telephone_number": "831-996-1222",
"fax_number": "831-417-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROH",
"first_name": "MIN SEONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-06",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.