Active NPI
Roanna Stroman
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1659947364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012104
- Practice address
- 2101 Ridgebrook Way NE # 2101
Atlanta, GA 30345-8022 - Phone
- (404) 939-3632
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012104 | GA | Primary |
Addresses
Primary practice location
2101 Ridgebrook Way NE # 2101
Atlanta, GA 30345-8022
Mailing address
PO Box 942325
Atlanta, GA 31141-2325
Phone (678) 778-6333
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 |
|---|---|---|---|
| 012104 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sofa Space Center LLC | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- georgiabehavioralhealthprofessionals.roannastroman@124220.advancedmd-direct.com
Organizations & group practices 1
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": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1659947364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942325",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311412325",
"telephone_number": "678-778-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 RIDGEBROOK WAY NE # 2101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303458022",
"telephone_number": "404-939-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMAN",
"first_name": "ROANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "012104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.