Individual provider Active NPI

Robert Rosenheim, LPC, LCADC,ICGC, NCC

  • Counselor
  • Haddon Heights, NJ
National Provider Identifier
1770911760
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00485000 Issued in NJ
Practice address
6 White Horse Pike
Suite 1B
Haddon Heights, NJ 08035-1246
Phone
(856) 547-7700
Fax
(856) 547-7701
NPI assigned
Oct 29, 2013
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00485000 NJ Primary

Addresses

Primary practice location

6 White Horse Pike
Suite 1B
Haddon Heights, NJ 08035-1246

Mailing address

6 White Horse Pike
Suite 1B
Haddon Heights, NJ 08035-1246
Phone (856) 547-7700

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
37PC00485000NJMDCounselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1770911760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "SUITE 1B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351246",
            "telephone_number": "856-547-7700",
            "fax_number": "856-547-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "SUITE 1B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351246",
            "telephone_number": "856-547-7700",
            "fax_number": "856-547-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENHEIM",
        "first_name": "ROBERT",
        "credential": "LPC, LCADC,ICGC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00485000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.