Individual provider Active NPI

Julie Lynn Roe, PC

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1730681982
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.1200385 Issued in OH
Practice address
7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899
Phone
(513) 961-5900
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1200385 OH Primary

Addresses

Primary practice location

7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899

Mailing address

4516 Ross Ave
Franklin, OH 45005-4893
Phone (513) 393-2263

Other identifiers 1

IdentifierTypeStateIssuer
C.1200385MedicaidOH

Other names 1

  • Ms. Julie Lynn Shockley Former name

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

LicenseStateTypeSpecialty
C.1200385OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camelot Community Care, Inc PastSince Jul 20, 2021 Accepting new patients
Camelot Community Care, Inc. PastSince Aug 1, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1730681982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 ROSS AVE",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450054893",
            "telephone_number": "513-393-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7162 READING RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373899",
            "telephone_number": "513-961-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1200385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C.1200385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SHOCKLEY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.