Moose Counseling & Consulting, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1100184 Issued in OH

Legal business name

MOOSE COUNSELING & CONSULTING, LLC

Practice address

1351 S Reynolds Rd Ste B
Toledo, OH 43615-7411

Phone

(419) 410-1830

Fax

(419) 754-2510

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jared S. Rose, LPCC-S, NCC, EMDRCNPI 1942557632

Title

Owner/Professional Clinical Counsel

Phone

(419) 410-1830

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared S Rose, LPCC-S, NCC, EMDR

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1942557632
  NPD Authorized official

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1417457946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411",
            "telephone_number": "419-410-1830",
            "fax_number": "419-754-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411",
            "telephone_number": "419-410-1830",
            "fax_number": "419-754-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL CLINICAL COUNSEL",
        "authorized_official_telephone_number": "419-410-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC-S, NCC, EMDRC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1100184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220898",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD",
            "identifier": "E.111100184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.