Active NPI
Donna Marie Rose, MA LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1275612210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17728
- Practice address
- 4412 Spicewood Springs Rd
Ste. 702
Austin, TX 78759-8583 - Phone
- (512) 743-3529
- Fax
- (512) 366-9731
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17728 | TX | Primary |
Addresses
Primary practice location
4412 Spicewood Springs Rd
Ste. 702
Austin, TX 78759-8583
Mailing address
7793 Burnet Rd
P.O. Box 91
Austin, TX 78757-1276
Phone (512) 743-3529
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17728 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275612210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7793 BURNET RD",
"address_2": "P.O. BOX 91",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571276",
"telephone_number": "512-743-3529",
"fax_number": "512-366-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 SPICEWOOD SPRINGS RD",
"address_2": "STE. 702",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598583",
"telephone_number": "512-743-3529",
"fax_number": "512-366-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.