Individual provider Active NPI

Roxanne Romanelli, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1487614038
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5280 Issued in WA
Practice address
117 N 1St St
Suite 54
Mount Vernon, WA 98273-2859
Phone
(360) 336-3632
Fax
(360) 336-2521
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 5280 WA Primary

Addresses

Primary practice location

117 N 1St St
Suite 54
Mount Vernon, WA 98273-2859

Mailing address

117 N 1St St
Suite 54
Mount Vernon, WA 98273-2859
Phone (360) 336-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241114001681 WA Practitioner - Mental Health Counselor 8820538465 Practice locations: Mount Vernon, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 N 1St St
Suite 54
Mount Vernon, WA 98273-2858
Phone (360) 336-3632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5280WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487614038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "address_2": "SUITE 54",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859",
            "telephone_number": "360-336-3632",
            "fax_number": "360-336-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "address_2": "SUITE 54",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859",
            "telephone_number": "360-336-3632",
            "fax_number": "360-336-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "ROXANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "5280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.