Individual provider Active NPI

Jackie Rosenberger, LICSW

  • Mental Health Counselor
  • Waxahachie, TX
National Provider Identifier
1205820545
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
40193 Issued in TX
Practice address
1181 Sharpshire CT
Waxahachie, TX 75165-6330
Phone
(214) 399-3918
NPI assigned
Sep 1, 2005
Reactivated
May 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 40193 TX Primary

Addresses

Primary practice location

1181 Sharpshire CT
Waxahachie, TX 75165-6330

Mailing address

1181 Sharpshire CT
Waxahachie, TX 75165-6330
Phone (214) 399-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000273 TX Practitioner - Clinical Social Worker 8022015197 Practice locations: Waxahachie, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

508 Grace St
Waxahachie, TX 75165-3046
Phone (214) 502-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205820545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 SHARPSHIRE CT",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656330",
            "telephone_number": "214-399-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 SHARPSHIRE CT",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656330",
            "telephone_number": "214-399-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "JACKIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "40193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.