JONATHAN ROSENGREN


Address: 415 E Madison Street, South Bend, IN 46617-1109
Phone: 2698155331

JONATHAN ROSENGREN (NPI# 1780053546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780053546
Entity Type Individual
Full Name JONATHAN ROSENGREN
Credential MSW
Practice Address 415 E Madison Street
South Bend
IN 46617-1109
Mailing Address 300 W Ferry St
Berrien Springs
MI 49103-1109
Practice Telephone 2698155331
Mailing Telephone 2698155331
Enumeration Date 2015-09-22
Last Update Date 2018-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 33008049A IN Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
6801098780 MI Behavioral Health & Social Service Providers

Office Location

Street Address 415 E MADISON STREET
City SOUTH BEND
State IN
Zip Code 46617-1109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
Find all providers in zip 46617

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770191892 Baochun Hind Counselor 1205 E Bronson St, South Bend, IN 46615-1141 2020-07-15
1356820765 Roniqua Teshae Roundtree Counselor 53174 Flowing Stream Ct, South Bend, IN 46628-9034 2018-08-08
1760909840 Precious Pals Inc Counselor 1139 E Lasalle Ave, South Bend, IN 46617-3321 2017-08-29
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437289469 Randy Nims Counselor 701 N Niles Ave, South Bend, IN 46617-1923 2007-03-07
1609906593 Jenifer R Hill Counselor 227n Dixie Way 140, South Bend, IN 46637-3300 2007-03-07
1396873147 Barbara Lynn Miller Counselor 5024 W Western Ave, South Bend, IN 46619-2312 2007-03-02
1255472643 Deborah Kay Clardy Counselor 53846 Generations Dr, South Bend, IN 46635-1543 2007-02-09
1407855414 Kristine A. Thelen Counselor 108 N Main St, Suite 305, South Bend, IN 46601-1625 2005-07-20
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

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.

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