Active NPI
Rozlyn Reeves Ross, LLPC
- Mental Health Counselor
- Benton Harbor, MI
National Provider Identifier
1841513587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401011623
- Practice address
- 100 W Main St
Benton Harbor, MI 49022-3606 - Phone
- (616) 456-1443
- Fax
- (616) 732-6392
- NPI assigned
- Mar 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401011623 | MI | Primary |
Addresses
Primary practice location
100 W Main St
Benton Harbor, MI 49022-3606
Mailing address
100 W Main St
Benton Harbor, MI 49022-3606
Phone (616) 456-1443
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 |
|---|---|---|---|
| 6401011623 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1841513587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223606",
"telephone_number": "616-456-1443",
"fax_number": "616-732-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223606",
"telephone_number": "616-456-1443",
"fax_number": "616-732-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ROZLYN",
"middle_name": "REEVES",
"name_prefix": "Ms.",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401011623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.