Healthcare Provider Details

I. General information

NPI: 1609946391
Provider Name (Legal Business Name): JASON ROHACS LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DUNLAP CT
SAVOY IL
61874-9501
US

IV. Provider business mailing address

2670 DURHAM CHAPEL HILL BLVD
DURHAM NC
27707-2829
US

V. Phone/Fax

Practice location:
  • Phone: 217-203-2008
  • Fax:
Mailing address:
  • Phone: 919-251-9001
  • Fax: 919-251-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1160
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: