Individual provider Active NPI

Rochelle Rose

  • Mental Health Counselor
  • Chester, VA
National Provider Identifier
1235870593
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0734006525 Issued in VA
Practice address
11300 Iron Bridge Rd
D
Chester, VA 23831-1428
Phone
(215) 218-8900
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 0734006525 VA Primary

Addresses

Primary practice location

11300 Iron Bridge Rd
D
Chester, VA 23831-1428

Mailing address

11300 Iron Bridge Rd
D
Chester, VA 23831-1428
Phone (215) 218-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mail.google.com/mail/u/1/#inbox

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

LicenseStateTypeSpecialty
0734006525VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1235870593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 IRON BRIDGE RD",
            "address_2": "D",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311428",
            "telephone_number": "215-218-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 IRON BRIDGE RD",
            "address_2": "D",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311428",
            "telephone_number": "215-218-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0734006525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/1/#inbox",
            "affiliation": "N",
            "address_1": "11300 Iron Bridge Rd Ste D",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238311428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.