Active NPI
Roger Charles Buese, LPCC-S
- Professional Counselor
- Medina, OH
National Provider Identifier
1770722571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E075
- Practice address
- 230 S Court St Ste 5
Medina, OH 44256-2259 - Phone
- (330) 723-7977
- NPI assigned
- Feb 18, 2009
- Last updated
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E075 | OH | Primary |
Addresses
Primary practice location
230 S Court St Ste 5
Medina, OH 44256-2259
Mailing address
454 W River Rd
Valley City, OH 44280-9576
Phone (330) 483-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E075 | Other | OH | OHIO STATE COUNSELOR'S LICENSE |
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 |
|---|---|---|---|
| E075 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenues of Counseling and Mediation | Past | Accepting new patients | |
| Lisa Borchert Dba Avenues of Counseling | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Mental Health Counselor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1770722571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 W RIVER RD",
"city": "VALLEY CITY",
"state": "OH",
"postal_code": "442809576",
"telephone_number": "330-483-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S COURT ST STE 5",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562259",
"telephone_number": "330-723-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUESE",
"first_name": "ROGER",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE COUNSELOR'S LICENSE",
"identifier": "E075",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.