RECOVER OR SACRIFICE EVERYTHING (ROSE) COUNSELING CENTER (NPI# 1447734934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447734934 |
Entity Type | Organization |
Organization Name | RECOVER OR SACRIFICE EVERYTHING (ROSE) COUNSELING CENTER |
Other Organization Name | ROSE COUNSELING CENTER |
Practice Address |
1825 Fortview Rd Ste 106 Austin TX 78704-7600 |
Practice Telephone | 5126538922 |
Mailing Telephone | 5126538922 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2019-04-19 |
Authorized Official Name | MS. PHYLLIS KAY MOCZYGEMBA (DIRECTOR / PRESIDENT) |
Authorized Official Telephone | 5126538922 |
Authorized Official Credential | SAP, LCDC, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TAX ID | 32067800204 | 01 |
Other Name | Type Code |
---|---|
Rose Counseling Center | Doing Business As Name - Organization |
Street Address |
1825 FORTVIEW RD STE 106 |
City | AUSTIN |
State | TX |
Zip Code | 78704-7600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851683791 | Phyllis Kay Moczygemba | Counselor | 1825 Fortview Rd Ste 106, Austin, TX 78704-7600 | 2011-05-11 |
1518202407 | Donald C Ellerbe | Counselor | 1825 Fortview Rd Ste 106, Austin, TX 78704-7600 | 2012-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.