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Roxanne Mitchell

Counselor - Professional β€’ Modesto, CA

Active NPI 1689083560 Individual Practitioner Female Practitioner
Practice location in NPPES

121 Downey Ave
Modesto, CA 953541208

Call 2093411824 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

121 Downey Ave

Modesto, CA 953541208

Telephone 2093411824
Organization at the Same NPPES Address or Phone
County Of Stanislaus Facility NPI 1013887967

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Modesto and California

273 active clinicians are listed under Counselor - Professional with a practice address in Modesto, CA (4,136 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

0% of these 273 clinicians have the CMS telehealth indicator.

1.1% of these 273 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES CA 147990
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Breanne Markowitz , DNP, PMHNP-BC, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1811561087

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified), Registered Nurse

Dr. Ebele Mbeledogu , DNP, FNP-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689071169

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Counselor (license number reported to NPPES: CA 147990)

πŸ“
Updated Practice Location June 25, 2024

Registered at 121 DOWNEY AVE, MODESTO, CA 953541208 (Tel: 2093411824)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 121 DOWNEY AVE, MODESTO, CA 953541208 (Tel: 2093411824)

βœ…
NPI Profile Active August 05, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2014

Registered at 100 POPLAR AVE, MODESTO, CA 953540510 (Tel: 2095969092)

πŸ“
Business Mailing Address (Initial Record) August 05, 2014

Registered at 100 POPLAR AVE, MODESTO, CA 953540510 (Tel: 2095969092)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2014

Recorded as ROXANNE MITCHELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2014

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration August 05, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689083560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2014
Last Update: July 12, 2024
Sole Proprietor: No

Mailing Address

121 Downey Ave

Modesto, CA 953541208

Phone: 2093411824

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.