Active NPI
Jessica Rohrbach, LICDC, LPCC
- Professional Counselor
- Bloomville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2404567-SUPV
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.162369 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2404567-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Serenity Minds LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Compass Behavioral Health, LLC | Mental Health | Past | Accepting new patients |
| Harbor | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1366526782
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Bloomville, OH
- NPI 1871318196
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Fremont, OH
- NPI 1871101279
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1932510385
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.