Individual provider Active NPI

Christopher Paul Roseman, LPCC

  • Mental Health Counselor
  • North Ridgeville, OH
National Provider Identifier
1982005419
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C8364 Issued in OH
Practice address
33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone
(419) 732-5252
NPI assigned
Sep 16, 2014
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 C8364 OH Primary
Professional Counselor 101YP2500X C0008364 OH

Addresses

Primary practice location

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670

Mailing address

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone (440) 732-5252

Other practice location 1

27072 Carronade Dr
Suites A & B
Perrysburg, OH 43551-5300
Phone (419) 352-5387

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
I20240429001726 OH Practitioner - Mental Health Counselor 1153761853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Phoenix Counseling Center LLCGroup PAC ID 3577902451, 6 clinicians

Practice addresses (Care Compare)

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone (440) 732-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C8364OHMDMental Health Counselor
C0008364OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Center LLC Professional CurrentSince Feb 17, 2024 Accepting new patients
Phoenix Counseling Center LLC Mental Health Past Accepting new patients

Locations

33480 Liberty Pkwy
North Ridgeville, OH 44039
Phone (440) 732-5252

6180 Emerald St
North Ridgeville, OH 44039
Phone (216) 327-7372

23550 Center Ridge Rd
Ste 102
Westlake, OH 44145
Phone (440) 732-5252

Organizations & group practices 2

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1982005419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "419-732-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27072 Carronade Dr",
            "address_2": "Suites A & B",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515300",
            "country_code": "US",
            "telephone_number": "419-352-5387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C8364",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0008364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.