Organization Active NPI

Recover Or Sacrifice Everything (Rose) Counseling Center

  • Multi-Specialty Clinic/Center
  • Austin, TX
National Provider Identifier
1447734934
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RECOVER OR SACRIFICE EVERYTHING (ROSE) COUNSELING CENTER
Practice address
1825 Fortview Rd Ste 106
Austin, TX 78704-7600
Phone
(512) 653-8922
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Ms. Phyllis Kay Moczygemba, SAP, LCDC, MSNPI 1851683791
Title
Director / President
Phone
(512) 653-8922

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1825 Fortview Rd Ste 106
Austin, TX 78704-7600

Mailing address

1825 Fortview Rd Ste 106
Austin, TX 78704-7600
Phone (512) 653-8922

Other identifiers 1

IdentifierTypeStateIssuer
32067800204OtherTXTAX ID

Other names 1

  • Rose Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

1825 Fortview Rd
Ste 106
Austin, TX 78704
Phone (512) 653-8922

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": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1447734934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047600",
            "telephone_number": "512-653-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047600",
            "telephone_number": "512-653-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER OR SACRIFICE EVERYTHING (ROSE) COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "MOCZYGEMBA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "512-653-8922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SAP, LCDC, MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "32067800204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rose Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.