Billy Rogers Ross Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

613 Issued in TN

Practice address

215 Wildwood Ave
Lebanon, TN 37087-3439

Phone

(615) 489-5047

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1508983396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PRITCHETT LN E",
            "city": "BRUSH CREEK",
            "state": "TN",
            "postal_code": "385472027",
            "telephone_number": "615-489-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WILDWOOD AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873439",
            "telephone_number": "615-489-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BILLY",
        "middle_name": "ROGERS",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "613",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID NUMBER",
            "identifier": "42-156-1155",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Elliot Roffwarg, M.D.
• Jessica Rogan, PHARMD
• Rachel A Rohrbacher
• Joseph Thomas Rollins
• Olivia Roney
• Michelle Ross, RD
• Roundtree Mental Health Group PLLC
• Alan W Roundtree, M.D.
• Jordan Roundtree, APRN, PMHNP
• Tiffani Briana Roundtree

• Professional Counselor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.