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MR. TIMOTHY CHARLES ROSENBOOM M. DIV.
NPI 1861560195
Counselor - Addiction (Substance Use Disorder) in Cassopolis, MI

Active since December 04, 2006
960 E STATE ST, CASSOPOLIS, MI 49031(269) 476-9781(269) 476-9783 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Charles Rosenboom M. Div. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY CHARLES ROSENBOOM M. DIV. (NPI 1861560195) is an individual addiction (substance use disorder) provider in Cassopolis, Michigan, licensed in Michigan (140001) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1861560195
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY CHARLES ROSENBOOMCredential: M. DIV.
Location Address960 E STATE STCassopolis, MI 49031-9339
Mailing Address8848 Kephart LnBerrien Springs, MI 49103-1440 · (269) 471-1955
Phone(269) 476-9781
Fax(269) 476-9783
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861560195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 140001
960 E STATE ST, Cassopolis, MI 49031
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN D LUTES LBSW
Counselor (Mental Health)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
MRS. RUBY MARIE RIDEOUT LMSW
Social Worker (Clinical)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
TOM M PABREZA LBSW
Counselor (Mental Health)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
MS. SARA Y VELA MSW
Social Worker (Clinical)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
TRACY PATNOUDE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 228-5110
MRS. KATHLEEN ANN SHEFFIELD LMSW
Social Worker (Clinical)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
THOMAS MATTHEW HOWES LLBSW
Counselor
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 228-5131
DR. MUKTIRAJ MEHTA M.D.
Psychiatry & Neurology (Psychiatry)
960 E STATE ST
CASSOPOLIS, MI 49031
Cass County (269) 445-2451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Rosenboom's NPI number?

The NPI number for Timothy Rosenboom is 1861560195. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Timothy Rosenboom located?

Timothy Rosenboom practices at 960 E State St, Cassopolis, MI 49031. The listed phone number is (269) 476-9781.

What is Timothy Rosenboom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Rosenboom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.