Michelle L Rolley, MS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.003072 Issued in IL

Practice address

220 N Eldorado Rd
Suite a
Bloomington, IL 61704-7703

Phone

(309) 663-2229

Fax

(309) 263-9336

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 16, 2024 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Healthy Minds Counseling, PLLC

  • Professional Counselor
  • Mahomet, IL
  • NPI 1215529011
  NPD Authorized official
• Agape Counseling, LTD

  • Psychologist
  • Morton, IL
  • NPI 1821070434

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1669626362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N ELDORADO RD",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047703",
            "telephone_number": "309-663-2229",
            "fax_number": "309-263-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N ELDORADO RD",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047703",
            "telephone_number": "309-663-2229",
            "fax_number": "309-263-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLEY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.003072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Rogers, MS, LCPC, NCC
• Joseph Fredrick Rogge, D.C.
• Prakhyat Rohatgi
• Tianna Elaine Marie Roig, APN
• Bastian Andres Rojas Espinoza, DDS
• Jaina Alyss-Mae Rollins, RBT
• Rebecca Anne Romberger, BA
• Douglas Roosevelt, ND, LMT, EMT-P
• Cheryl J Root, CADC
• Charles Rosen, M.D.

• Mental Health Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.