Organization Active NPI

Rosewater Counseling & Wellness PLLC

  • Professional Counselor
  • Allen, TX
National Provider Identifier
1396328035
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROSEWATER COUNSELING & WELLNESS PLLC
Practice address
825 Watters Creek Blvd Ste 250
Allen, TX 75013-3770
Phone
(469) 560-5427
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Elmira Wade, LPCNPI 1578104303
Title
Licensed Professional Counselor
Phone
(903) 372-3958

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

825 Watters Creek Blvd Ste 250
Allen, TX 75013-3770

Mailing address

825 Watters Creek Blvd Ste 250
Allen, TX 75013-3770
Phone (469) 560-5427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1396328035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WATTERS CREEK BLVD STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133770",
            "telephone_number": "469-560-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WATTERS CREEK BLVD STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133770",
            "telephone_number": "469-560-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWATER COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-372-3958",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.