Caroline Rosales, MA, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004088A Issued in IN

Practice address

9321 Wicker Ave Ste 205
Saint John, IN 46373-2301

Phone

(219) 558-0232

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.B. Family Counseling Center LLC

  • Mental Health Counselor
  • Saint John, IN
  • NPI 1215742275
  NPD
• Elevation Individual and Family Therapy PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Homewood, IL
  • NPI 1770270597
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1679239107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 WOODWARD AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241228",
            "telephone_number": "219-218-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 WICKER AVE STE 205",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463732301",
            "telephone_number": "219-558-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19150 S. Kedzie Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "60422",
            "country_code": "US",
            "telephone_number": "708-300-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004088A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rest Haven Illiana Christian Convalescent Home
• Rest Haven Illiana Christian Convalescent Home
• Kara Nicole Reynolds
• Gina Roak
• Sandra Robles
• Victoria Erin Ross
• Samara Ruder, NP-C
• Mark S Rybczynski, D.O.
• Sarah Marya Sandoval
• Evelyn Sebastian, COTA/L

• Mental Health Counselor in Saint John, IN
• Providers in Saint John, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.