Individual provider Active NPI

Myriam Rosefort

  • Mental Health Counselor
  • Lansdowne, PA
National Provider Identifier
1861896276
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
31041445 Issued in PA
Practice address
315 Wayne Ave
Lansdowne, PA 19050-1036
Phone
(516) 983-1321
NPI assigned
Oct 14, 2014
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 31041445 PA Primary
Clinical Social Worker 1041C0700X 31041445 PA

Addresses

Primary practice location

315 Wayne Ave
Lansdowne, PA 19050-1036

Mailing address

315 Wayne Ave
Lansdowne, PA 19050-1036
Phone (516) 983-1321

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31041445PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addmore Counseling Therapy Services, LLC CurrentSince Aug 14, 2022 Accepting new patients

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1861896276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WAYNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501036",
            "telephone_number": "516-983-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WAYNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501036",
            "telephone_number": "516-983-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEFORT",
        "first_name": "MYRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "31041445",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "31041445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.