Jeffrey Rosa, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003712-1 Issued in NY

Practice address

500 Bi-Country Blvd
Suite 114
Farmingdale, NY 11735

Phone

(718) 264-1640

Fax

(718) 484-0530

NPI assigned

Nov 25, 2014

Last updated

Oct 2, 2015By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1366849911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E 119TH ST",
            "address_2": "APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354278",
            "telephone_number": "646-295-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BI-COUNTRY BLVD",
            "address_2": "SUITE 114",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "718-264-1640",
            "fax_number": "718-484-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JEFFREY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003712-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Rodriguez, M.S. OTR/L
• Tara Marie Rohan
• Maria Yvette Roman, RN
• Priscilla Romero
• Ronald C Fagan MD, PC
• Karen E Rosen, L.M.T.
• Douglas Rosenberg, LMT
• Murray Rosenbloom, R.PH.
• Jennifer Lynn Rottkamp
• Jeanne M. Roulet, M.A., CCC/SLP

• Mental Health Counselor in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.