Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Charles Rosenboom, MDIV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861560195

Mr. Timothy Charles Rosenboom, MDIV is an Addiction (Substance Use Disorder) Counselor in Cassopolis, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

960 E State St
Cassopolis, MI 49031-9339
Phone: (269) 476-9781
Fax: (269) 476-9783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 140001 (MI)

Record details

NPI number1861560195
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 8, 2007