Rose Center for Healing

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ROSE CENTER FOR HEALING

Practice address

611 Wilson Ave Ste 6a
Pocatello, ID 83201-5046

Phone

(208) 254-5099

Fax

(208) 254-4180

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Paisley Rose Cummings, LCSWNPI 1942676341

Title

Owner/Clinical Director

Phone

(208) 417-2218

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paisley Cummings

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1942676341
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1598515009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE STE 6A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-254-5099",
            "fax_number": "208-254-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE STE 6A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-254-5099",
            "fax_number": "208-254-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CENTER FOR HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "PAISLEY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-417-2218",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garett Warner Romriell, OTR
• Gregory E Romriell, D.M.D.
• Steven D Romriell, PTA
• Root and Rise Pediatric Therapy LLC
• Benson S Roper, CRNA
• Cassidy Michelle Roske, LPC
• Theresa L. Ross, PHD
• Roth Family Medicine and Mental Health
• Roth Family Medicine and Mental Health
• Kathryn Jill Roth, FNP-C

• Adolescent and Children Mental Health Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Adolescent and Children Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.