MS. ROSALIND SERENA ROSE (NPI# 1912049719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912049719 |
| Entity Type | Individual |
| Full Name | MS. ROSALIND SERENA ROSE |
| Credential | LCPC, LAC, |
| Practice Address |
1615 Pheasant Brook Circle Suite 2 Laurel MT 59044-9314 |
| Practice Telephone | 4066963111 |
| Mailing Telephone | 4066963111 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1000 | MT | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
332925-6004 | UT | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
1000 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD PR | 740150 | 01 |
| MT | 0254830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040031 | Rosalind Rose | Counselor | 366 N Broadway, Suite 404, Jericho, NY 11753-2025 | 2005-08-12 |
| Street Address |
1615 PHEASANT BROOK CIRCLE SUITE 2 |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
| Find all providers in zip 59044 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898751 | Odelia Muir | Counselor | 13184 Larchdale Rd, Apt #6, Laurel, MD 20708-1707 | 2012-07-10 |
| 1346574282 | Reflections Clinical Counseling, LLC | Counselor | 13 C St Ste C, Laurel, MD 20707-4152 | 2009-09-24 |
| 1447482237 | Jerry V Ridge | Counselor | 7 Line Rd, Laurel, MS 39443-2663 | 2009-08-13 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1902957319 | Counseling Services, Inc. | Counselor | 150 Washington Blvd S Fl 2, Laurel, MD 20707-4328 | 2007-01-13 |
| 1295225761 | Bk Behavioral Health Center | Counselor | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707-4958 | 2018-05-10 |
| 1437602588 | American Center for Intellectual and Diverse Disorders for Counseling | Counselor | 300 Thomas Dr, Suite A, Laurel, MD 20707-4700 | 2016-07-25 |
| 1073932380 | Julie Mcmillin | Counselor | 319 1st Ave, Laurel, MT 59044-3031 | 2014-04-15 |
| 1356602528 | Sharon M Bell | Counselor | 413 Main Street, Laurel, MD 20707 | 2012-06-05 |
| 1295094597 | Reflections Clinical Counseling, Lcc | Counselor | 13 C St, Suite C, Laurel, MD 20707-4152 | 2012-05-08 |
| Find all providers in LAUREL | ||||
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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.