Active NPI
Yaritza Rolon, PSYD
- Counseling Psychologist
- Tomah, WI
National Provider Identifier
1538644711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4114-57
- Practice address
- 111 E Badger Dr
Tomah, WI 54660-5179 - Phone
- (608) 313-7601
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4114-57 | WI | Primary |
Addresses
Primary practice location
111 E Badger Dr
Tomah, WI 54660-5179
Mailing address
14398 Gemstone Rd
Sparta, WI 54656-5332
Phone (608) 473-4401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4529608576604 | Other | WI | DRIVERS |
Other names 1
- Mrs. Yaritza Rolon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4114-57 | WI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1538644711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14398 GEMSTONE RD",
"city": "SPARTA",
"state": "WI",
"postal_code": "546565332",
"telephone_number": "608-473-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E BADGER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546605179",
"telephone_number": "608-313-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLON",
"first_name": "YARITZA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "4114-57",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS",
"identifier": "4529608576604",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YARITZA",
"last_name": "ROLON",
"prefix": "MRS.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.