Active NPI
Jeffrey Gilbert Rose Sr., LADC II, CARC
- Addiction (Substance Use Disorder) Counselor
- East Falmouth, MA
National Provider Identifier
1295549533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20582
- Practice address
- 269 Thomas B Landers Rd Unit B
East Falmouth, MA 02536-4786 - Phone
- (508) 524-3385
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20582 | MA | Primary |
Addresses
Primary practice location
269 Thomas B Landers Rd Unit B
East Falmouth, MA 02536-4786
Mailing address
269 Thomas B Landers Rd Unit B
East Falmouth, MA 02536-4786
Phone (508) 524-3385
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 |
|---|---|---|---|
| 20582 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1295549533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 THOMAS B LANDERS RD UNIT B",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025364786",
"telephone_number": "508-524-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 THOMAS B LANDERS RD UNIT B",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025364786",
"telephone_number": "508-524-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JEFFREY",
"middle_name": "GILBERT",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LADC II, CARC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "20582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.