Rachelle A Rose, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5712578-2501-2014092 Issued in UT

Practice address

49 E 200 S
Northern Utah Mental Counseling
Clearfield, UT 84015-1047

Phone

(801) 779-0095

Fax

(801) 779-0255

NPI assigned

Jul 31, 2006

Last updated

Apr 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachelle.rose.p1@direct.tannerclinic.nextgenshare.com

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.

• South Davis Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, UT
  • NPI 1386142396

  Clinical

  Medicare reassignment NPD
• Neurorev PLLC

  • Physical Therapy Clinic/Center
  • Centerville, UT
  • NPI 1598229155
  NPD
• Northern Utah Counseling LLC

  dba N

  • Mental Health Counselor
  • Clearfield, UT
  • NPI 1063843308
  NPD (past)
• Tiny Talkers Counseling

  • Mental Health Counselor
  • Layton, UT
  • NPI 1235940586
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1265448104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E 200 S",
            "address_2": "NORTHERN UTAH MENTAL COUNSELING",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151047",
            "telephone_number": "801-779-0095",
            "fax_number": "801-779-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E 200 S",
            "address_2": "NORTHERN UTAH MENTAL COUNSELING",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151047",
            "telephone_number": "801-779-0095",
            "fax_number": "801-779-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RACHELLE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5712578-2501-2014092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan L Roane, RN
• Lorraine Robins
• Jessica Rodda, LMT
• Cesar Rojas
• Bridget Romney
• Brandy Lynn Routson, LCSW
• Ebbie Russett, CMHC
• Melanie Rust
• Laura Bridget Ruth
• S-H Clearfield Opco LLC (Clearfiled Gardens of Chancellor)

• Clinical Psychologist in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.