Matthew Joseph Rommel, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305790 Issued in MN

Practice address

2483 15TH St NW Ste a
New Brighton, MN 55112-5604

Phone

(612) 756-9107

NPI assigned

Aug 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevate Behavioral Health, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Eagan, MN
  • NPI 1932049038
  Medicare reassignment NPD (past) Authorized official
• Jtcounselingservices

  • Mental Health Counselor
  • Flower Mound, TX
  • NPI 1063923043
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1477280501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 COUNTY ROAD F E APT 7",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103884",
            "telephone_number": "612-386-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 15TH ST NW STE A",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125604",
            "telephone_number": "612-756-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMMEL",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "matthew.rommel@jtc.org.in",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "JTCounselingServices",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2483 15th St NW Ste A",
            "city": "New Brighton",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551125604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Sorensen Ripp, RD, LD
• Eleanor Claire Rizor
• Russell Robbins, LADC
• Ethan Bjorn Roe
• Leanne Rohlf, APNP
• Ronald H Vescio DDS
• Asher Stoen Rooks
• Rose Home Care LLC
• Allyson May Rose, LPCC, LADC
• Kristina NMN Rose, LPCC

• Addiction (Substance Use Disorder) Counselor in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.