Active NPI
Rosheen Faulkner, LPC
- Professional Counselor
- Industry, PA
National Provider Identifier
1891267662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005113
- Practice address
- 6349 Tuscarawas Rd
Industry, PA 15052-1953 - Phone
- (724) 494-5771
- NPI assigned
- Dec 18, 2018
- Last updated
- Dec 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | PC005113 | PA | Primary |
Addresses
Primary practice location
6349 Tuscarawas Rd
Industry, PA 15052-1953
Mailing address
6349A Tuscarawas Rd
Industry, PA 15052-1953
Phone (724) 494-5771
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rosheenlpc@yahoo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515000235 | PA | Practitioner - Mental Health Counselor | 1557708971 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Counselor
- Industry, PA
- NPI 1295583730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1891267662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6349A TUSCARAWAS RD",
"city": "INDUSTRY",
"state": "PA",
"postal_code": "150521953",
"telephone_number": "724-494-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6349 TUSCARAWAS RD",
"city": "INDUSTRY",
"state": "PA",
"postal_code": "150521953",
"telephone_number": "724-494-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "ROSHEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rosheenlpc@yahoo.com",
"affiliation": "N",
"endpointDescription": "rosheenlpc@yahoo.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6349 Tuscarawas Rd",
"city": "Industry",
"state": "PA",
"country_code": "US",
"postal_code": "150521953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.