Jason Patrick Ross, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001108 Issued in IA

Practice address

1450 W 46TH St
Davenport, IA 52806-3656

Phone

(563) 370-1764

NPI assigned

Feb 19, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1437742459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W 46TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063656",
            "telephone_number": "563-370-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W 46TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063656",
            "telephone_number": "563-370-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots to Recovery Collective LLC
• Abby Kathleen Rose, D.C.
• Rosecrance New Life Outpatient Center
• Kaitlyn Sue Rosenstiel, DPT
• Ross Medical Supply Company, Inc.
• Rachal L. Rossi, APN
• Mariah Rossiter, DC
• Stacy Roth, APN
• Madisyn Rowe
• Melissa Rowe, LMHC

• Mental Health Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.