Active NPI
Barbara Sue Rose, LPC
- Addiction (Substance Use Disorder) Counselor
- Clackamas, OR
National Provider Identifier
1568557973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LPC C0811
- Practice address
- 10163 SE Sunnyside Rd
Suite No. 490
Clackamas, OR 97015 - Phone
- (503) 513-4423
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC C0811 | OR | Primary |
Addresses
Primary practice location
10163 SE Sunnyside Rd
Suite No. 490
Clackamas, OR 97015
Mailing address
744 NW Westover SQ.
Portland, OR 97210
Phone (503) 513-4423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0811 | Other | OR | LPC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC C0811 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568557973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 NW WESTOVER SQ.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-513-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10163 SE SUNNYSIDE RD",
"address_2": "SUITE NO. 490",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-513-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "BARBARA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "LPC C0811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "C0811",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
- Katherine Roose, CPNP
- Daniel C. Root, M.D.
- Shea O'Donnell Root, M.A.
- Rose City Dialysis, LLC (Fresenius Medical Care Clackamas)
- Rose City Pain Relief LLC (Portland Pain Relief)
- Tyler Richard Rose, LMT
- Geoffrey Howard Rosen, MD
- Alan Richard Rosenfeld, M.D.
- Justin E Rosenfeld, M.D.
- Jennifer J Rosoff, PT, PCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.