Nhora Edith Rosero-Fricke

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704010617 Issued in VA

Practice address

46179 Westlake Dr Ste 340
Sterling, VA 20165-5874

Phone

(571) 350-8507

Fax

(571) 350-8507

NPI assigned

Dec 11, 2020

Last updated

Dec 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Goyal Medpsych IncGroup PAC ID 3375978984, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: granatogroup.nhorarosserofricke@144557.advancedmd-direct.com

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.

• Goyal Medpsych Inc

  • Psychiatry Physician
  • North Bethesda, MD
  • NPI 1083260756

  DC

  Medicare reassignment Care Compare group NPD
• Commonwealth Counseling Associates Inc

  dba LifeStance Health

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805

  Mental Health

  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1720674971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BISCAYNE PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641106",
            "telephone_number": "540-336-0866",
            "fax_number": "571-350-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DR STE 340",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655874",
            "telephone_number": "571-350-8507",
            "fax_number": "571-350-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSERO-FRICKE",
        "first_name": "NHORA",
        "middle_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704010617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Gissel Romero Rodriguez
• Rooted Self Counseling PLLC
• Agana Rosario
• Ashley Rose, M.D.
• Gregory Rose
• Tamira Lynn Rosner, M.ED., LPCC, LPC
• Derek Ross, ATC
• Theresa Mary Roth, RD
• Michael Round, LMT
• Royal Goods by Queen Anna LLC

• Mental Health Counselor in Sterling, VA
• Providers in Sterling, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.