Provider Demographics
NPI:1861288060
Name:ROSSBACH COUNSELING
Entity type:Organization
Organization Name:ROSSBACH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LCPC
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC
Authorized Official - Phone:217-331-6380
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-0116
Mailing Address - Country:US
Mailing Address - Phone:217-331-6380
Mailing Address - Fax:
Practice Address - Street 1:1802 CYPRESS POINTE CT
Practice Address - Street 2:
Practice Address - City:MAHOMET
Practice Address - State:IL
Practice Address - Zip Code:61853-3671
Practice Address - Country:US
Practice Address - Phone:217-331-6380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty