Alex Enrique Rosa, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22187 Issued in FL

Practice address

30794 State Road 54
Wesley Chapel, FL 33543

Phone

(813) 565-0562

NPI assigned

Oct 26, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Moments, LLCGroup PAC ID 9931482650, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Optimal Moments, LLC

  • Counseling Psychologist
  • Tampa, FL
  • NPI 1356740864
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1679345201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30794 STATE ROAD 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30794 STATE ROAD 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-565-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "ALEX",
        "middle_name": "ENRIQUE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenika N Roman, SA-C, LSA
• Samantha Romano
• Roni S. Lowery, LLC
• Lauren A Roque
• Laquinta Dionne Rorie, APRN
• Brandon Rosa
• Amanda Rosado
• Elizabeth Rosas-Diaz, M.S., CCC-SLP TSSLD
• Amber Dimarco Roseland, DPT
• Keith Rosenbach, MD

• Mental Health Counselor in Wesley Chapel, FL
• Providers in Wesley Chapel, 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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.