Active NPI
Brian K Rohan, LPC, LICDC
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1679944714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ICDC.151013
- Practice address
- 6058 Montgomery Rd
Cincinnati, OH 45213-1612 - Phone
- (513) 403-9368
- NPI assigned
- Oct 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICDC.151013 | OH | Primary |
| Mental Health Counselor | 101YM0800X | C.1300715 | OH |
Addresses
Primary practice location
6058 Montgomery Rd
Cincinnati, OH 45213-1612
Mailing address
9512 Short Line CT
West Chester, OH 45069-3962
Phone (513) 403-9368
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 |
|---|---|---|---|
| ICDC.151013 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.1300715 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1679944714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9512 SHORT LINE CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693962",
"telephone_number": "513-403-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6058 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452131612",
"telephone_number": "513-403-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHAN",
"first_name": "BRIAN",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "LPC, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-15",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "ICDC.151013",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1300715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.