Individual provider Active NPI

Jessica Rohrbach, LICDC, LPCC

  • Professional Counselor
  • Bloomville, OH
National Provider Identifier
1902321060
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2404567-SUPV Issued in OH
Practice address
54 S Marion St
Bloomville, OH 44818-9201
Phone
(567) 207-5377
Fax
(888) 518-4977
NPI assigned
Aug 10, 2017
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162369 OH
Professional Counselor 101YP2500X E.2404567-SUPV OH Primary

Addresses

Primary practice location

54 S Marion St
Bloomville, OH 44818-9201

Mailing address

54 S Marion St
Bloomville, OH 44818-9201
Phone (567) 207-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000510 OH Practitioner - Mental Health Counselor 3072044296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162369OHMDAddiction (Substance Use Disorder) Counselor
E.2404567-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Addiction (Substance Use Disorder) CurrentSince Aug 1, 2024 Accepting new patients
Serenity Minds LLC Addiction (Substance Use Disorder) CurrentSince Nov 24, 2024 Accepting new patients
Compass Behavioral Health, LLC Mental Health PastSince May 1, 2022 Accepting new patients
Harbor PastSince Aug 1, 2024 Accepting new patients

Locations

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

97 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 731-0720

Organizations & group practices 4

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1902321060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 S MARION ST",
            "city": "BLOOMVILLE",
            "state": "OH",
            "postal_code": "448189201",
            "telephone_number": "567-207-5377",
            "fax_number": "888-518-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S MARION ST",
            "city": "BLOOMVILLE",
            "state": "OH",
            "postal_code": "448189201",
            "telephone_number": "567-207-5377",
            "fax_number": "888-518-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRBACH",
        "first_name": "JESSICA",
        "credential": "LICDC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162369",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404567-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomville, OH

Sources for this page

Verify at the official NPI Registry.