DR. SARA R ROSE (NPI# 1619900511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619900511 |
| Entity Type | Individual |
| Full Name | DR. SARA R ROSE |
| Credential | PH.D., LPC |
| Practice Address |
1515 Mockingbird Ln Suite 411 Charlotte NC 28209-3236 |
| Mailing Address |
3426 Gresham Pl Charlotte NC 28211-3966 |
| Practice Telephone | 7045251213 |
| Practice Fax Number | 7045251213 |
| Mailing Telephone | 7045251213 |
| Mailing Fax Number | 7045251213 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
755 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124382239 | Sara Leah Rose | Specialist | 863 E 17th St, Brooklyn, NY 11230-3115 | 2012-07-03 |
| 1801420856 | Sara Rose | Occupational Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2020-02-28 |
| 1457851404 | Sara M Rose | Physician Assistant | 331 Hospital Dr Ste A, Lebanon, MO 65536 | 2018-02-16 |
| 1851820724 | Sara Beth Rose | Physical Therapy Assistant | 4747 Alben Barkley Dr, Paducah, KY 42001-6789 | 2017-06-05 |
| 1639543218 | Sara Roland Rose | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2015-11-19 |
| 1770989238 | Sara Rose | Massage Therapist | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2014-11-11 |
| 1710233069 | Sara Ann Rose | Counselor | 19530 Doctors Dr, Germantown, MD 20874-5200 | 2012-07-24 |
| 1922384106 | Sara Terese Rose | Registered Nurse | 1233 N 30th St, Billings, MT 59101-0127 | 2011-11-01 |
| 1669690749 | Sara Lee Rose | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-04-23 |
| 1285718007 | Sara Elizabeth Rose | Physical Therapist | 1305 Boiling Springs Rd, Greer, SC 29650-4139 | 2006-10-25 |
| Street Address |
1515 MOCKINGBIRD LN SUITE 411 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422539 | Raymond L Grubbs | Counselor | 1515 Mockingbird Ln, Suite 412, Charlotte, NC 28209-3236 | 2005-10-26 |
| 1487957866 | Melissa Mangene Cowles | Social Worker | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2010-12-07 |
| 1487967030 | Latricia H Penny | Counselor | 1515 Mockingbird Ln, Suite 709, Charlotte, NC 28209-3236 | 2010-07-23 |
| 1538484290 | Ark Angels LLC | In Home Supportive Care | 1515 Mockingbird Ln, Ste 515, Charlotte, NC 28209-3236 | 2010-04-06 |
| 1912234915 | Fairview Psychological Services, P.a. | Psychologist | 1515 Mockingbird Ln, Suite 215, Charlotte, NC 28209-3236 | 2009-11-11 |
| 1306076161 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2009-07-15 |
| 1356577308 | Rulondo Tehran Anderson Sr. | Counselor | 1515 Mockingbird Ln, Suite 405, Charlotte, NC 28209-3236 | 2009-06-04 |
| 1043495419 | Psychiatric and Forensic Associates, P.a. | Psychiatry & Neurology | 1515 Mockingbird Ln, Charlotte, NC 28209-3239 | 2008-01-04 |
| 1336336023 | Parktowne Psychological Services | Psychologist | 1515 Mockingbird Ln, Suite 212, Charlotte, NC 28209-3236 | 2007-09-26 |
| 1174720155 | Mecklenburg Open Door, Inc. | Case Management | 1515 Mockingbird Ln, Ste 1015, Charlotte, NC 28209-3236 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
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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.