Individual provider Active NPI

Joseph R Rogers

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1922024074
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0005568 Issued in OH
Practice address
6435 E Broad St
Columbus, OH 43213-1507
Phone
(614) 856-9610
Fax
(614) 861-5411
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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 I0005568 OH Primary
Clinical Social Worker 1041C0700X I.0005568 OH

Addresses

Primary practice location

6435 E Broad St
Columbus, OH 43213-1507

Mailing address

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

Other identifiers 1

IdentifierTypeStateIssuer
0274411MedicaidOH

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
I20060821000273 OH Practitioner - Clinical Social Worker 1153324702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Mental Health Services, Inc.Group PAC ID 5193612539, 10 clinicians

Practice addresses (Care Compare)

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0005568OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Mental Health Services, Inc. CurrentSince Jun 1, 2006 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

1301 N High St
Columbus, OH 43201
Phone (614) 299-6600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1922024074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-421-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131507",
            "telephone_number": "614-856-9610",
            "fax_number": "614-861-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0005568",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.