Organization Active NPI

Alicia Rose LLC

Doing business as Rose Counseling Services

  • Clinical Social Worker
  • Hutchinson, KS
National Provider Identifier
1326499815
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4317 Issued in KS
Legal business name
ALICIA ROSE LLC
Doing business as
Rose Counseling Services
Practice address
1716 E 30TH Ave
Suite B
Hutchinson, KS 67502-1230
Phone
(888) 406-5778
NPI assigned
Jun 26, 2016
Last updated
Jun 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2016

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

Authorized official

Name
Alicia Rose, LSCSW, LACNPI 1629317268
Title
Owner, Therapist
Phone
(620) 664-8391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4317 KS Primary

Addresses

Primary practice location

1716 E 30TH Ave
Suite B
Hutchinson, KS 67502-1230

Mailing address

1716 E 30TH Ave
Suite B
Hutchinson, KS 67502-1230
Phone (888) 406-5778

Other identifiers 2

IdentifierTypeStateIssuer
200974940AMedicaidKS
006909029OtherKSMEDICARE ID

Other names 1

  • Rose Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902001829 KS Part B Supplier - Clinic/Group Practice 8628364445 Receives reassigned benefits from 1 practitioner
Practice locations: Hutchinson, KS

National Provider Directory

National Provider Directory

Locations

1714 E 30th Ave
Ste B
Hutchinson, KS 67502
Phone (620) 664-8391

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466899200000",
    "number": "1326499815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 E 30TH AVE",
            "address_2": "SUITE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021230",
            "telephone_number": "888-406-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 E 30TH AVE",
            "address_2": "SUITE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021230",
            "telephone_number": "888-406-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA ROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "620-664-8391",
        "authorized_official_credential": "LSCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200974940A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "006909029",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.