MICHAEL ROUSE
NPI 1730646712
Case Manager/Care Coordinator in The Plains, OH

NPI Status: Active since February 26, 2019

Contact Information

49 JOHNSON RD
THE PLAINS, OH
ZIP 45780
Phone: (740) 764-4529

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Case Manager/Care Coordinator
Accepts Insurance

About MICHAEL ROUSE

This page provides the complete NPI Profile along with additional information for Michael Rouse, a provider established in The Plains, Ohio with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1730646712 assigned on February 2019. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1730646712
Provider Name: MICHAEL ROUSE
Gender: Male
Entity Type: Individual
Location Address: 49 JOHNSON RD THE PLAINS, OH 45780
Location Phone: (740) 764-4529
Mailing Address: 9 CHESAPEAKE PLZ CHESAPEAKE, OH 45619
Mailing Phone: (740) 764-4529
Is Sole Proprietor?: No
Enumeration Date: 02-26-2019
Last Update Date: 04-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Case Manager/Care Coordinator
Taxonomy Code: 171M00000X
Type: Other Service Providers
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)
2	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	APP-000218442 (OH)
3	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	170009 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Bronze 10 - HMO
Bronze 8 - HMO
Bronze 9 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 8 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1730646712	MEDICAID (05)	OH

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	3	0	6	4	6	7	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	6	0	12	4	12	7	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 4 + 1 + 2 + 7 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1730646712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.