Active NPI
Christina Opal Rose, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1437235900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1448
- Practice address
- 1832 NE Broadway St
Portland, OR 97232-1992 - Phone
- (503) 282-8600
- Fax
- (503) 287-0967
- NPI assigned
- Oct 27, 2006
- Last updated
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1448 | OR | Primary |
Addresses
Primary practice location
1832 NE Broadway St
Portland, OR 97232-1992
Mailing address
1832 NE Broadway St
Portland, OR 97232-1992
Phone (503) 282-8600
Other names 1
- Christina O Rose
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1448 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1437235900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321992",
"telephone_number": "503-282-8600",
"fax_number": "503-287-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321992",
"telephone_number": "503-282-8600",
"fax_number": "503-287-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CHRISTINA",
"middle_name": "OPAL",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "ROSE",
"middle_name": "O",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.