Individual provider Active NPI

Roxanne Larrigan, LPCC, LSW, LICDC

  • Mental Health Counselor
  • Jackson, OH
National Provider Identifier
1932525052
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2505138 Issued in OH
Practice address
205 S Bennett Ave
Jackson, OH 45640-1905
Phone
(740) 288-6025
NPI assigned
Mar 13, 2014
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162253 OH
Mental Health Counselor 101YM0800X C.2204065 OH
Mental Health Counselor 101YM0800X E.2505138 OH Primary
Social Worker 104100000X S.1101603 OH

Addresses

Primary practice location

205 S Bennett Ave
Jackson, OH 45640-1905

Mailing address

205 S Bennett Ave
Jackson, OH 45640-1905

Other identifiers 1

IdentifierTypeStateIssuer
0476317MedicaidOH

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
I20241106001116 OH Practitioner - Mental Health Counselor 3072047554 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162253OHMDAddiction (Substance Use Disorder) Counselor
C.2204065OHMDMental Health Counselor
E.2505138OHMDMental Health Counselor
S.1101603OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling and Consultation LLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2024 Accepting new patients
Monarch: Wings of Kyla Foundation CurrentSince Jun 29, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

680 E Main St
Jackson, OH 45640
Phone (740) 529-0141

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, 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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1932525052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S BENNETT AVE",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S BENNETT AVE",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401905",
            "telephone_number": "740-288-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIGAN",
        "first_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "LPCC, LSW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162253",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204065",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2505138",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1101603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.