William Rose, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

595 Issued in LA

Practice address

2000 Fairfield Avenue
Shreveport, LA 71104

Phone

(318) 222-8511

Fax

(318) 222-3273

NPI assigned

Nov 26, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1306316088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-222-8511",
            "fax_number": "318-222-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-222-8511",
            "fax_number": "318-222-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WILLIAM",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Roper
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• Alejandra E. Rosales Hernandez, MD
• Michel Rosario, LICSW
• Lane Randall Rosen, M.D.
• Maurie Patterson Rosen, MD
• Rosenthal Consulting Solutions, LLC
• Roseview Nursing and Rehabilitation Center LLC
• Ross H Dies DDS and J Cody Cowen DDS a Dental LLC

• Addiction (Substance Use Disorder) Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.