Individual provider Active NPI

Rose Ness, MA, LMHC, CDP

  • Mental Health Counselor
  • Anacortes, WA
National Provider Identifier
1215182209
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009299 Issued in WA
Practice address
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone
(360) 588-2800
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00002135 WA
Mental Health Counselor 101YM0800X LH00009299 WA Primary

Addresses

Primary practice location

8212 S March Point Rd
Anacortes, WA 98221-8684

Mailing address

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800

Other practice location 1

17337 Reservation Rd
LA Conner, WA 98257-8802
Phone (360) 466-1024

Other identifiers 2

IdentifierTypeStateIssuer
CP00002135OtherWAWA STATE DOH
LH00009299OtherWAWA STATE DOH

Other names 1

  • Rose Debolt Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
CP00002135WAMDAddiction (Substance Use Disorder) Counselor
LH00009299WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Swinomish Health Services CurrentSince Nov 6, 2022 Accepting new patients
Swinomish Health Services CurrentSince Nov 6, 2022 Accepting new patients

Locations

8212 S March Point Rd
Anacortes, WA 98221
Phone (360) 588-2800

17337 Reservation Rd
La Conner, WA 98257
Phone (360) 466-1024

Organizations & group practices 2

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1215182209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17337 Reservation Rd",
            "address_purpose": "LOCATION",
            "city": "LA Conner",
            "state": "WA",
            "postal_code": "982578802",
            "country_code": "US",
            "telephone_number": "360-466-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESS",
        "first_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002135",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DOH",
            "identifier": "CP00002135",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DOH",
            "identifier": "LH00009299",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "DEBOLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.