MR. GARY JOHN ROLEN (NPI# 1588168165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588168165 |
| Entity Type | Individual |
| Full Name | MR. GARY JOHN ROLEN |
| Practice Address |
79 N Clinton Ave Rochester NY 14604-1407 |
| Practice Telephone | 5855463046 |
| Practice Fax Number | 5855462607 |
| Mailing Telephone | 5855463046 |
| Mailing Fax Number | 5855462607 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
79 N CLINTON AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14604-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063723633 | Jeff Footer | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2010-06-29 |
| 1164073888 | Jennifer Peters Dauphinee | Licensed Practical Nurse | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2019-09-24 |
| 1821658782 | Frank Hill | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2019-06-13 |
| 1366900987 | Suzie Rivera | Case Manager/Care Coordinator | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2019-03-04 |
| 1710455589 | Lisa Neu-posadni | Licensed Practical Nurse | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-11-09 |
| 1033698212 | Jessica Marie Manley | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-08-09 |
| 1669959680 | Courtney Griffin | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-07-23 |
| 1992202683 | Vickie Mcvay | Social Worker | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-04-09 |
| 1821593500 | Sarah Kesselring | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-03-26 |
| 1295239325 | Melissa Blackwell | Counselor | 79 N Clinton Ave, Rochester, NY 14604-1407 | 2018-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225562481 | Katherine Nielsen-erskine | Registered Nurse | 1645 Saint Paul, Rochester, NY 14604 | 2017-04-14 |
| 1245787456 | The Young Men's Christian Association of Greater Rochester | Health Educator | 444 E Main St, Rochester, NY 14604 | 2016-09-06 |
| 1093146565 | Allyson Stoughton | Case Manager/Care Coordinator | 87 North Clinton Avenue, Rochester, NY 14604 | 2013-12-09 |
| 1003061839 | Trudy Johnette Mack | Licensed Practical Nurse | 165 N. Water Street, Apt. 205, Rochester, NY 14604 | 2008-11-20 |
| 1730336124 | Berkshire Farm Center &services for Youth | Community/Behavioral Health | 1059 Sibley Tower Bldg, Rochester, NY 14604 | 2008-08-27 |
| 1851430813 | Berkshire Farm Center and Services for Youth | Case Management | 1059 Silbey Tower Building, Medicaid Service Coordination Program, Rochester, NY 14604 | 2007-02-06 |
| 1982779930 | Jeremy Alan Leichtner | Dentist | 1158 Sibley Tower Bldg, Rochester, NY 14604 | 2006-11-22 |
| 1518589761 | Dillon Jay Auvenshine | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14604 | 2020-05-11 |
| 1235597394 | Jessica Pruitt | Counselor | 87 N Clinton Ave, Rochester, NY 14604 | 2016-02-04 |
| 1033520440 | Huther Doyle Memorial Institute | Counselor | 360 East Ave, Rochester, NY 14604 | 2014-05-20 |
| Find all providers in zip 14604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.