Individual provider Active NPI

Jose Rosado, LCPC

  • Mental Health Counselor
  • Bel Air, MD
National Provider Identifier
1144899261
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13729 Issued in MD
Practice address
221 Maitland St Ste 200
Bel Air, MD 21014-3930
Phone
(443) 720-6008
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC13729 MD Primary

Addresses

Primary practice location

221 Maitland St Ste 200
Bel Air, MD 21014-3930

Mailing address

3 Canvas PL
Bel Air, MD 21015-8613
Phone (914) 469-9073

Other practice location 1

5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 433-4353

Other practice location 2

3 Canvas Pl
Bel Air, MD 21015-8613
Phone (914) 469-9073

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

LicenseStateTypeSpecialty
LC13729MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grey Matter Counseling & Consulting, LLC Mental Health CurrentSince Aug 1, 2022 Accepting new patients

Locations

221 Maitland St
Ste 200
Bel Air, MD 21014
Phone (443) 353-9594

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1144899261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CANVAS PL",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158613",
            "telephone_number": "914-469-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAITLAND ST STE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143930",
            "telephone_number": "443-720-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392945",
            "country_code": "US",
            "telephone_number": "410-433-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Canvas Pl",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210158613",
            "country_code": "US",
            "telephone_number": "914-469-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JOSE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.