Individual provider Active NPI

Roseann Harper, LPC

  • Counselor
  • Lorain, OH
National Provider Identifier
1710003314
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C0028313 Issued in OH
Practice address
6140 S Broadway
Lorain, OH 44053
Phone
(440) 204-4100
Fax
(440) 233-4468
NPI assigned
Mar 22, 2007
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0028313 OH Primary
Social Worker 104100000X S-00283163 OH

Addresses

Primary practice location

6140 S Broadway
Lorain, OH 44053

Mailing address

1180 Walton Dr
Akron, OH 44313-6667
Phone (330) 836-1725

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
I20240411004765 OH Practitioner - Mental Health Counselor 1153760012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Phoenix Counseling Center LLCGroup PAC ID 3577902451, 6 clinicians

Practice addresses (Care Compare)

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone (440) 732-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0028313OHMDCounselor
S-00283163OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Center LLC CurrentSince Jan 7, 2024 Accepting new patients
Phoenix Counseling Center LLC Past Accepting new patients

Locations

33480 Liberty Pkwy
North Ridgeville, OH 44039
Phone (440) 732-5252

6180 Emerald St
North Ridgeville, OH 44039
Phone (216) 327-7372

23550 Center Ridge Rd
Ste 102
Westlake, OH 44145
Phone (440) 732-5252

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1710003314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 WALTON DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136667",
            "telephone_number": "330-836-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-204-4100",
            "fax_number": "440-233-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ROSEANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0028313",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-00283163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.