Rosa N Lavergne, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000351-1 Issued in NY

Practice address

268 Edgemont Ter
Teaneck, NJ 07666-3404

Phone

(201) 446-1898

Fax

(201) 490-1753

NPI assigned

Dec 1, 2010

Last updated

Dec 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1033411681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313513",
            "telephone_number": "201-446-1898",
            "fax_number": "201-490-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 EDGEMONT TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663404",
            "telephone_number": "201-446-1898",
            "fax_number": "201-490-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERGNE",
        "first_name": "ROSA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37RT00288300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essie M Larson, PH.D.
• Laser Dentistry for Children (Pediatric Dentistry of Teaneck)
• Lasting Impressions Dentistry LLC
• Brett Coleman Lastra, RN, BSN
• Gary Latour, P.T.
• Anna Janna Lavotshkin, MD
• Monica Sharnise Lawrence-Chambers, RN
• Charles Nash Lawson, MD
• Julie Ann Lazar-Reskakis, M.S.
• Eva Lazar, PHD

• Mental Health Counselor in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.