Svetlana Nikolayevna Rose

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17051 Issued in FL

Practice address

1713 Mahan Dr
Tallahassee, FL 32308-1218

Phone

(850) 681-6001

Fax

(850) 681-6003

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Svetlana Nikolayevna Anokhina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1639624828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 FERN HILL CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123944",
            "telephone_number": "850-284-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081218",
            "telephone_number": "850-681-6001",
            "fax_number": "850-681-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324011366",
            "country_code": "US",
            "telephone_number": "850-769-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SVETLANA",
        "middle_name": "NIKOLAYEVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14641",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SVETLANA",
            "last_name": "ANOKHINA",
            "middle_name": "NIKOLAYEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Root & Branch Wellness LLC
• Rorosafe LLC
• Rose Speech & Academic Center, LLC
• Cielo Rose, DO
• John S Rose, MS, CCC-SLP
• Cannon Rosello
• Laurence Zalmon Rosenberg, M.D.
• Lori Wolfe Rosenberg, M.D.
• Harry M. Rosenblum, M.D.,PA
• Rosie Rosenow-Harkness, LCSW

• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.