Jennifer E Rosa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015636 Issued in NY

Practice address

28 E Main St Unit 307
Avon Park, FL 33825-3943

Phone

(845) 745-2642

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1346993268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E MAIN ST UNIT 307",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253943",
            "telephone_number": "845-745-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E MAIN ST UNIT 307",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253943",
            "telephone_number": "845-745-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittani Rochelle Robinson
• Elena Rodriguez Hernandez
• Lismaby Rodriguez
• Alexander Emir Roman, RBT
• Ronald O Sevigny OD
• Julissa Antonia Rosario
• Royal Healthcare of Avon Park,LLC. (Royal Care of Avon Park)
• S P Ryan Inc
• Albert Saez, D.O.
• Amanda Clare Sager, NP-C

• Mental Health Counselor in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.