Individual provider Active NPI

Rozalyn Engle, LCPC

  • Professional Counselor
  • Decatur, IL
National Provider Identifier
1811634181
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1211 W Scotch Pine CT
Decatur, IL 62526-1371
Phone
(910) 584-5888
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1211 W Scotch Pine CT
Decatur, IL 62526-1371

Mailing address

1211 W Scotch Pine CT
Decatur, IL 62526-1371
Phone (910) 584-5888

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address roziengle@outlook.com
Direct Messaging Address roziengle@outloo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318000193 IL Practitioner - Mental Health Counselor 1355788043 Reassigns benefits to 1 organization
Practice locations: Decatur, IL
I20260312003337 TX Practitioner - Mental Health Counselor 1355788043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101825TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 28, 2024 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1811634181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W SCOTCH PINE CT",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261371",
            "telephone_number": "910-584-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W SCOTCH PINE CT",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261371",
            "telephone_number": "910-584-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "ROZALYN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roziengle@outlook.com",
            "affiliation": "N",
            "address_1": "1211 W Scotch Pine Ct",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625261371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roziengle@outloo.com",
            "affiliation": "N",
            "address_1": "1211 W Scotch Pine Ct",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625261371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.