Individual provider Active NPI

Twanetta Antoinette Roseman, NCC, LPC, LCAS-A

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1306367198
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13649 Issued in NC
Practice address
635 Cox Rd Ste B
Gastonia, NC 28054-3441
Phone
(704) 691-7561
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23741 NC
Professional Counselor 101YP2500X 7119 SC
Professional Counselor 101YP2500X A13649 NC
Professional Counselor 101YP2500X 13649 NC Primary

Addresses

Primary practice location

635 Cox Rd Ste B
Gastonia, NC 28054-3441

Mailing address

3028 Leroy St
Charlotte, NC 28205-7633

Other practice location 1

3028 Leroy St
Charlotte, NC 28205
Phone (704) 495-4482

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
13649NCMDProfessional Counselor
A13649NCMDProfessional Counselor
7119SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemans Counseling & Contracting Services PLLC Current Accepting new patients
Gaston Adolescent Center, Inc. Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1306367198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 LEROY ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COX RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543441",
            "telephone_number": "704-691-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 Leroy St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28205",
            "country_code": "US",
            "telephone_number": "704-495-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "TWANETTA",
        "middle_name": "ANTOINETTE",
        "credential": "NCC, LPC, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23741",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13649",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.