Active NPI
Roberta F Rhodes, CADC
- Addiction (Substance Use Disorder) Counselor
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 86000029A
- Practice address
- 1802 E 10TH St
Jeffersonville, IN 47130-6016 - Phone
- (812) 288-2488
- Fax
- (770) 573-9513
- NPI assigned
- Apr 9, 2007
- Last updated
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY-500 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000029A | IN | Primary |
Addresses
Primary practice location
1802 E 10TH St
Jeffersonville, IN 47130-6016
Mailing address
2100 Market St Ste 101
Charlestown, IN 47111-9535
Phone (812) 503-5100
Other practice location 1
1804 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86000029A | Other | IN | STATE LICENSE CERTIFICATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86000029A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| KY-500 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clark Medical Group LLC | Current | Accepting new patients | |
| The Morton Center, Inc. | Past | Accepting new patients | |
| Katie E. Harmeier | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100
1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744
1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810
Organizations & group practices 3
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.
-
- General Practice Physician
- Jeffersonville, IN
- NPI 1376095711
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1700251782
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1528180064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1750404414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MARKET ST STE 101",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471119535",
"telephone_number": "812-503-5100",
"fax_number": "770-573-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471306016",
"telephone_number": "812-288-2488",
"fax_number": "770-573-9513"
}
],
"practiceLocations": [
{
"address_1": "1804 E 10th St",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471306016",
"country_code": "US",
"telephone_number": "812-288-2488",
"fax_number": "770-573-9513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHODES",
"first_name": "ROBERTA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "KY-500",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000029A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE CERTIFICATION",
"identifier": "86000029A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.