Active NPI
Roody Joseph, M.ED, LPC
- Professional Counselor
- Norwalk, CT
National Provider Identifier
1801025804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2519
- Practice address
- 17 High St
Norwalk, CT 06851-4723 - Phone
- (203) 854-2915
- NPI assigned
- Jul 11, 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 | 2519 | CT | Primary |
Addresses
Primary practice location
17 High St
Norwalk, CT 06851-4723
Mailing address
17 High St
Norwalk, CT 06851-4723
Phone (203) 854-2915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2519 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Renaissance, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ctrenaissance/r4/
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.
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Norwalk, CT
- NPI 1144510694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1801025804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HIGH ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514723",
"telephone_number": "203-854-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HIGH ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514723",
"telephone_number": "203-854-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ROODY",
"name_prefix": "Mr.",
"credential": "M.ED, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-11",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.