Active NPI
Courtlynn Rose
- Mental Health Counselor
- Independence, KS
National Provider Identifier
1124855150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 04799-T
- Practice address
- 1000 Mulberry St
Independence, KS 67301-2026 - Phone
- (620) 331-8789
- NPI assigned
- Sep 14, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 04799-T | KS | Primary |
Addresses
Primary practice location
1000 Mulberry St
Independence, KS 67301-2026
Mailing address
604 N 8TH St
Independence, KS 67301-2702
Phone (620) 330-2376
Other practice location 1
2921 W 1st St
Coffeyville, KS 67337-2441
Phone (620) 251-3705
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 |
|---|---|---|---|
| 04799-T | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armstrong Family Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Overland Park, KS
- NPI 1376908376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1124855150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N 8TH ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673012702",
"telephone_number": "620-330-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MULBERRY ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673012026",
"telephone_number": "620-331-8789"
}
],
"practiceLocations": [
{
"address_1": "2921 W 1st St",
"address_purpose": "LOCATION",
"city": "Coffeyville",
"state": "KS",
"postal_code": "673372441",
"country_code": "US",
"telephone_number": "620-251-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "COURTLYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "04799-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.