Active NPI
Amanda Rose Rougeau, MA, MT-BC, LPC
- Professional Counselor
- West Chester, PA
National Provider Identifier
1407410582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017525
- Practice address
- 615 W Chestnut St Apt E4
West Chester, PA 19380-2549 - Phone
- (732) 947-6992
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 14893 | PA | |
| Professional Counselor | 101YP2500X | PC017525 | PA | Primary |
Addresses
Primary practice location
615 W Chestnut St Apt E4
West Chester, PA 19380-2549
Mailing address
615 W Chestnut St Apt E4
West Chester, PA 19380-2549
Phone (732) 947-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017525 | PA | MD | Professional Counselor |
| 14893 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1407410582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W CHESTNUT ST APT E4",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802549",
"telephone_number": "732-947-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W CHESTNUT ST APT E4",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802549",
"telephone_number": "732-947-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGEAU",
"first_name": "AMANDA",
"middle_name": "ROSE",
"credential": "MA, MT-BC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "14893",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.