Active NPI
Rose Wierzba
- Mental Health Counselor
- Demotte, IN
National Provider Identifier
1235575887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002472A
- Practice address
- 220 3Rd CT SE Ste 4
Demotte, IN 46310-7404 - Phone
- (219) 964-3773
- NPI assigned
- May 21, 2013
- 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 | 39002472A | IN | Primary |
Addresses
Primary practice location
220 3Rd CT SE Ste 4
Demotte, IN 46310-7404
Mailing address
220 3Rd CT SE Ste 4
Demotte, IN 46310-7404
Phone (219) 964-3773
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39002472A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Wierzba Counseling LLC | Current | Accepting new patients |
Locations
220 3rd Ct SE
Ste 4
Demotte, IN 46310
Phone (219) 237-0482
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Demotte, IN
- NPI 1821414681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747526400000",
"number": "1235575887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 3RD CT SE STE 4",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463107404",
"telephone_number": "219-964-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 3RD CT SE STE 4",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463107404",
"telephone_number": "219-964-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERZBA",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2025-05-18",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002472A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.