Julia Anthony Rose, MA, LPCA, MBCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12204 Issued in NC

Practice address

709 Northeast Drive
Suite #22
Davidson, NC 28036

Phone

(704) 912-4095

Fax

(704) 943-0512

NPI assigned

Mar 31, 2016

Last updated

Feb 6, 2019By 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

Other names 1

• Ms. Julia Marie Anthony Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1568825198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DRIVE",
            "address_2": "SUITE #22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "704-912-4095",
            "fax_number": "704-943-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DRIVE",
            "address_2": "SUITE #22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "704-912-4095",
            "fax_number": "704-943-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JULIA",
        "middle_name": "ANTHONY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCA, MBCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "ANTHONY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA, LPCA, MBCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Davidson, NC
• Providers in Davidson, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.