Jeremy Rosene

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.011097 Issued in IL

Practice address

1004 S Glenview Dr
Carbondale, IL 62901-2441

Phone

(618) 534-5936

NPI assigned

Nov 17, 2015

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  NPD

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1386018125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S GLENVIEW DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012441",
            "telephone_number": "618-534-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S GLENVIEW DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012441",
            "telephone_number": "618-534-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENE",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.011097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Rose, PTA
• Hannah Rose, LCPC
• Jennifer Ari Rose, AMFT LPC
• Jennifer Kay Rose, M.D.
• Mary R. Rosenberg, PH.D.
• Mary Rosenhauer, PA-C
• Damilola Rotimi
• Allison Marie Rourke, LCSW
• Amanda Roye
• Fariha Rub, MD

• Counselor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.