Active NPI
Marcy Joy Rosenberg, M.A.,L.M.H.C.
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1316138563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 5914
- Practice address
- 2881 E Oakland Park Blvd Ste 317
Fort Lauderdale, FL 33306-1813 - Phone
- (954) 315-1725
- Fax
- (954) 315-1726
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH-5194 | FL | |
| Professional Counselor | 101YP2500X | MH 5914 | FL | |
| Mental Health Counselor | 101YM0800X | MH 5914 | FL | Primary |
Addresses
Primary practice location
2881 E Oakland Park Blvd Ste 317
Fort Lauderdale, FL 33306-1813
Mailing address
2881 E Oakland Park Blvd Ste 317
Fort Lauderdale, FL 33306-1813
Phone (954) 315-1725
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 |
|---|---|---|---|
| MH-5194 | FL | MD | Mental Health Counselor |
| MH 5914 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charu Jain PSYD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Clinical Psychologist
- Plantation, FL
- NPI 1962896191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1316138563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 E OAKLAND PARK BLVD STE 317",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061813",
"telephone_number": "954-315-1725",
"fax_number": "954-315-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2881 E OAKLAND PARK BLVD STE 317",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061813",
"telephone_number": "954-315-1725",
"fax_number": "954-315-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "MARCY",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "M.A.,L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH-5194",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 5914",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 5914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.