MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) – Counselor, NPI 1356546576

MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) is a healthcare provider. based in Mentor, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-S LCDC-III. They hold a License No. E.4194-SUPV (OH). The NPI Number for MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) is 1356546576

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III)
NPI
1356546576
Phone
(440) 354-9924
Address
5930 HEISLEY RD
Enumeration Date
18 June 2007
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
21658767273402
Graduation Year
1984 (42 years ago)
PAC ID
8820431547
Group Practice PAC ID
6507895067
Professional Enrollment ID
I20240209002512
Address ID
OH442563336ME801XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III)

  • 5930, Heisley Road, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 44060

    Phone: (440) 354-9924

    Fax: (440) 354-5808

    Type: Mailing

  • 12395 MCCRACKEN RD STE A-UP

    GARFIELD HEIGHTS, OH 441252967

    Phone: (216) 587-6727

    Fax: (216) 587-8347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240209002512IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507895067View full group profile
NameSpecialtyState
Clinical Social WorkerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
P S Y C H I A T R YOH
-OH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Is MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) listed with a National Provider Identifier?
Yes — MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) has NPI 1356546576 on file in the registry.
Is there an active status for MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III)?
For scheduling context, MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) is shown as active in the registry.
What clinical focus is listed for MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III)?
At a glance, MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) is tied to Counselor. Clinical services aligned with this taxonomy classification.
Is MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) located near Mentor?
MR. STEPHEN JOSEPH ROOS (LPCC-S LCDC-III) currently maps to Mentor, Ohio in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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