Active NPI
Gabriel Rosenboro, BS CRIMINAL JUSTICE
- School Counselor
- Raleigh, NC
National Provider Identifier
1003329194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 4400 Old Poole Rd
Raleigh, NC 27610-3033 - Phone
- (919) 268-9660
- NPI assigned
- Nov 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | NC | Primary |
Addresses
Primary practice location
4400 Old Poole Rd
Raleigh, NC 27610-3033
Mailing address
5065 Braxton Rd
Grifton, NC 28530-8628
Phone (919) 268-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003329194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5065 BRAXTON RD",
"city": "GRIFTON",
"state": "NC",
"postal_code": "285308628",
"telephone_number": "919-268-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 OLD POOLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103033",
"telephone_number": "919-268-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBORO",
"first_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "BS CRIMINAL JUSTICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.