Individual provider Active NPI

Vanessa K Rozzelle, M.A., M.ED

  • Professional Counselor
  • Rahway, NJ
National Provider Identifier
1700856887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00284700 Issued in NJ
Practice address
1441 Irving St
Rahway, NJ 07065-4032
Phone
(732) 340-9393
Fax
(732) 340-9519
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00284700 NJ Primary

Addresses

Primary practice location

1441 Irving St
Rahway, NJ 07065-4032

Mailing address

250 Stanton St
Rahway, NJ 07065-3124
Phone (732) 340-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20260304000637 NJ Order and Referring Only - Mental Health Counselor 8224510771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37PC00284700NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700856887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STANTON ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653124",
            "telephone_number": "732-340-9393",
            "fax_number": "732-340-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 IRVING ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654032",
            "telephone_number": "732-340-9393",
            "fax_number": "732-340-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZZELLE",
        "first_name": "VANESSA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.A., M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00284700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.