Carl Willis Rosenberg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1367 Issued in NC

Practice address

2525 Raeford Rd Ste B
Fayetteville, NC 28305-5092

Phone

(910) 635-9545

Fax

(910) 491-8902

NPI assigned

Apr 17, 2018

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 1

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1497242226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RASPBERRY RD",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919725",
            "telephone_number": "910-635-9545",
            "fax_number": "910-491-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 RAEFORD RD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055092",
            "telephone_number": "910-635-9545",
            "fax_number": "910-491-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "CARL",
        "middle_name": "WILLIS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194124412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Lashea Rose
• James Rose, M.A
• Laura Gay Rose, RN
• Samisha Tankeyia Rose
• Shannon Rose
• Jennifer L Rosenthal-Dibb, MS CCC-SLP
• Amanda K Ross, LCSWA
• Charles J Ross, IDMT
• Jerlinda Gladys Camille Ross, M.D.
• Karen Ross

• Marriage & Family Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.