Healthcare Provider Details

I. General information

NPI: 1003341637
Provider Name (Legal Business Name): ERIKA ROSEN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6610 PARK POINTE CT
PEPPER PIKE OH
44124-5398
US

IV. Provider business mailing address

6610 PARK POINTE CT
PEPPER PIKE OH
44124-5398
US

V. Phone/Fax

Practice location:
  • Phone: 216-470-6047
  • Fax:
Mailing address:
  • Phone: 216-470-6047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1800922
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.010646
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: