Active NPI
Robin G Rosen, LADC
- Addiction (Substance Use Disorder) Counselor
- Tolland, CT
National Provider Identifier
1962543082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000365
- Practice address
- 384 Merrow Rd Ste D
Tolland, CT 06084-3957 - Phone
- (860) 875-2578
- Fax
- (860) 875-9963
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000365 | CT | Primary |
Addresses
Primary practice location
384 Merrow Rd Ste D
Tolland, CT 06084-3957
Mailing address
384 Merrow Rd Ste D
Tolland, CT 06084-3957
Phone (860) 875-2578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300000365CT01 | Other | CT | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000365 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin Rosen | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Tolland, CT
- NPI 1861532152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962543082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 MERROW RD STE D",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843957",
"telephone_number": "860-875-2578",
"fax_number": "860-875-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 MERROW RD STE D",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843957",
"telephone_number": "860-875-2578",
"fax_number": "860-875-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ROBIN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "300000365CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tolland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.