Roselli Counseling & Coaching Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROSELLI COUNSELING & COACHING SERVICES, PLLC

Practice address

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201

Phone

(703) 634-3080

Fax

(703) 991-9111

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Richard Roselli, LCSWNPI 1871873554

Title

Owner

Phone

(703) 634-3080

Specialties & licenses 1

Addresses

Other names 1

• Roselli Counseling & Coaching Services, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, DC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Roselli, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1871873554

  DC, FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1962088534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-634-3080",
            "fax_number": "703-991-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-634-3080",
            "fax_number": "703-991-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 N Congress Ave Apt 32",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268644",
            "country_code": "US",
            "telephone_number": "703-634-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSELLI COUNSELING & COACHING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-634-3080",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roselli Counseling & Coaching Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roselli Counseling & Coaching Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denaij Rose
• Helen Marie Rose, MSW
• Elizabeth Brandi Adair Rosebrock, MA, CAS
• Rebecca Sue Roselle, CNS
• Russell Thomas Roselle, CHIROPRACTOR DC
• Richard Roselli, LCSW
• Laurie Lerner Rosen, L.C.S.W.
• Michelle A Rosen, NP
• Rachel Dana Rosenbaum-Khitrik, M.D.
• Brooke Rosenblatt, MOT OTR/L

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.