Individual provider Active NPI

Christopher Rossvanes, MA, MSSA

  • Clinical Social Worker
  • Boardman, OH
National Provider Identifier
1558633677
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1600236 Issued in OH
Practice address
945 Windham CT Ste 2
Boardman, OH 44512-5034
Phone
(330) 953-1354
NPI assigned
Feb 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1600236 OH Primary

Addresses

Primary practice location

945 Windham CT Ste 2
Boardman, OH 44512-5034

Mailing address

PO Box 853
Canfield, OH 44406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161230000998 OH Practitioner - Clinical Social Worker 5698056893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Counseling Solutions LLCGroup PAC ID 2860799459, 11 clinicians

Practice addresses (Care Compare)

1025 Boardman Canfield Rd
Boardman, OH 44512-4227
Phone (330) 707-4433

5204 Mahoning Ave
Suite 105
Youngstown, OH 44515-1808
Phone (330) 797-0036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
I1600236OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Solutions LLC CurrentSince Oct 20, 2018 Accepting new patients
Carla Renae Arlien PHD Past Accepting new patients

Locations

5204 Mahoning Ave
Ste 105
Youngstown, OH 44515
Phone (330) 797-0036

1025 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 629-2434

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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1558633677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "44406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WINDHAM CT STE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125034",
            "telephone_number": "330-953-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSVANES",
        "first_name": "CHRISTOPHER",
        "credential": "MA, MSSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1600236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.