Lori M Rose

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

113 Church St
N Syracuse, NY 13212-2370

Phone

(315) 415-0308

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Branches of Growth Mental Health Counseling, PLLCGroup PAC ID 4082147962, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Branches of Growth Mental Health Counseling, PLLC

  • Mental Health Counselor
  • East Syracuse, NY
  • NPI 1750845749
  Medicare reassignment Care Compare group NPD
• Branches of Growth, LLC

  • Mental Health Counselor
  • N Syracuse, NY
  • NPI 1902351216
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1477250082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122370",
            "telephone_number": "315-415-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122370",
            "telephone_number": "315-415-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LORI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@branchesofgrowth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Church St",
            "city": "N Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132122370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patsy M Iannolo MD, PHD, P C
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• Jennifer A. Rapke, PSYD
• Marie Richards, DDS
• Caroline Rouen Dixon, LCSWR CASAC
• Carol Scalzo, MSN FNP
• William D Schreiber, MD
• Kathleen Sullivan, RN
• Sammy F. Suriani, PA

• Mental Health Counselor in N Syracuse, NY
• Providers in N Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.