Active NPI
Roxanne Rosenberg, LCMHC, PMH-C
- Counselor
- Raleigh, NC
National Provider Identifier
1093220618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9311
- Practice address
- 5102B Oak Park Rd
Raleigh, NC 27612-3027 - Phone
- (919) 694-7116
- Fax
- (919) 551-7473
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9311 | NC | Primary |
Addresses
Primary practice location
5102B Oak Park Rd
Raleigh, NC 27612-3027
Mailing address
5102B Oak Park Rd
Raleigh, NC 27612-3027
Phone (919) 694-7116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9311 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Perinatal Wellness, PLLC | Past | Accepting new patients | |
| Roxanne Rosenberg, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1215695978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1093220618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5102B OAK PARK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123027",
"telephone_number": "919-694-7116",
"fax_number": "919-551-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5102B OAK PARK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123027",
"telephone_number": "919-694-7116",
"fax_number": "919-551-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ROXANNE",
"credential": "LCMHC, PMH-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2021-03-11",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "9311",
"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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.