Individual provider Active NPI

Christina R Rovah, LISW-S

  • Clinical Social Worker
  • Reynoldsburg, OH
National Provider Identifier
1689112401
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.450548 Issued in OH
Practice address
7628 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159
Phone
(614) 537-7073
Fax
(614) 705-6539
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 I.450548 OH Primary

Addresses

Primary practice location

7628 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159

Mailing address

7628 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159
Phone (614) 537-7073

Other identifiers 1

IdentifierTypeStateIssuer
0345877MedicaidOH

Other names 1

  • Christina R Thorpe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL christinarovah@graceblossomsbh.com Direct

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
I20170301002498 OH Practitioner - Clinical Social Worker 4082998521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7628 Slate Ridge Blvd
Reynoldsburg, OH 43068-8159
Phone (614) 537-7073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.450548OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Blossoms Behavioral Health Clinical CurrentSince Aug 11, 2019 Accepting new patients

Locations

7628 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 354-0464

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1689112401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7628 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688159",
            "telephone_number": "614-537-7073",
            "fax_number": "614-705-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688159",
            "telephone_number": "614-537-7073",
            "fax_number": "614-705-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVAH",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.450548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345877",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "christinarovah@graceblossomsbh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7628 Slate Blvd",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "THORPE",
            "middle_name": "R",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.