Justin Tyler Rogols, MBA, MA, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2001785-SUPV Issued in OH

Practice address

954 Roberson St
Columbus, OH 43201-3646

Phone

(614) 304-1630

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

State licenses

Practice roles

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.

• Clintonville Counseling and Wellness

  • Mental Health Counselor
  • Columbus, OH
  • NPI 1851840490
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1730730334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 ROBERSON ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013646",
            "telephone_number": "614-330-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ROBERSON ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013646",
            "telephone_number": "614-304-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOLS",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "MBA, MA, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC1063",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013553",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2001785-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twylah Rogers
• Zachary Rogers
• Victoria Roget
• Asseh N Rogette
• Cara Roggenkamp
• Thomas Zachary Rohan, MD
• Hanna Nichole Rohde, LSW
• Stefanie Cara Sheiner Rohde
• Rohi Home Healthcare Services LLC
• Jacqueline Tran Rohl, MD

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.