Active NPI
Renee Rose, LLC
- Counselor
- Jenison, MI
National Provider Identifier
1114587375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- RENEE ROSE, LLC
- Practice address
- 2084 Pinewood St
Jenison, MI 49428-9117 - Phone
- (616) 888-5585
- NPI assigned
- Jun 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Rose, MA, LPC, ATR
- Title
- Owner
- Phone
- (616) 888-5585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
2084 Pinewood St
Jenison, MI 49428-9117
Mailing address
PO Box 851
Jenison, MI 49429-0851
Phone (616) 888-5585
National Provider Directory
National Provider DirectoryLocations
14998 Cleveland St
Ste H
Spring Lake, MI 49456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Jenison, MI
- NPI 1710265103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1114587375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851",
"city": "JENISON",
"state": "MI",
"postal_code": "494290851",
"telephone_number": "616-888-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 PINEWOOD ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494289117",
"telephone_number": "616-888-5585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEE ROSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-19",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-888-5585",
"authorized_official_credential": "MA, LPC, ATR"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.