Jakob Rossi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015285 Issued in MI

Practice address

733 E 8TH St Ste 204
Traverse City, MI 49686-2665

Phone

(231) 753-3134

NPI assigned

May 17, 2016

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Third Coast Center for Emotional Wellness PLLC

  • Adult Mental Health Clinic/Center
  • Traverse City, MI
  • NPI 1366931453
  NPD (past) Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1467809723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 E 8TH ST STE 204",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862665",
            "telephone_number": "231-753-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E 8TH ST STE 204",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862665",
            "telephone_number": "231-753-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JAKOB",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Jane Tcruz Rosier, MOT, OTRL
• Marsha Lynne Rosinski, MA, LPC, NCC, SCL
• Joel Christopher Roskamp, D.C.
• Dawn Ross
• Matthew K Ross, PA-C
• Kimberly Stover Rosso, PT
• Jennifer L Rostamabadi-Cook, D.O.
• Katherine A Roth, MD
• Sara L Roth, MD
• Jill Rountree, LMSW

• Professional Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.