Active NPI
Keionna Rose, MS, LPC-ASSOCIATE
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1184402265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 87799
- Practice address
- 2520 Washington Ave Apt 749
Houston, TX 77007-4789 - Phone
- (214) 466-8383
- NPI assigned
- Sep 19, 2023
- 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 | 87799 | TX | Primary |
Addresses
Primary practice location
2520 Washington Ave Apt 749
Houston, TX 77007-4789
Mailing address
2450 Louisiana St., Ste 400
Box 606
Houston, TX 77006
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87799 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1184402265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 LOUISIANA ST., STE 400",
"address_2": "BOX 606",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 WASHINGTON AVE APT 749",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770074789",
"telephone_number": "214-466-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KEIONNA",
"credential": "MS, LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "87799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.