Jolene Rose

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LAC-LAC-LIC-4136 Issued in MT

Practice address

730 N Montana St
Dillon, MT 59725-8497

Phone

(406) 683-4305

Fax

(406) 683-9767

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwest Chemical Dependency Program

  • Local Education Agency (LEA)
  • Dillon, MT
  • NPI 1871618074
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1154720498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597250527",
            "telephone_number": "406-683-4305",
            "fax_number": "406-683-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MONTANA ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597258497",
            "telephone_number": "406-683-4305",
            "fax_number": "406-683-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JOLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Frances Reverie, LMT
• Michaela Reyes
• Justin Howard Rhodes, D.M.D.
• Sarah Riebel
• Tracy Metully Roberts, FNP-C
• Melainya Ryan, L.C.P.C.
• Safeway Inc
• Dianne Wickham Sawitke, NURSE PRACTITIONER
• Thomas J Schumacher, MPT
• Julie Ann Seminara, P.A.

• Addiction (Substance Use Disorder) Counselor in Dillon, MT
• Providers in Dillon, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.