Active NPI
Rose Mary Lewis
- Professional Counselor
- Dallas, TX
National Provider Identifier
1689172595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75330
- Practice address
- 8828 N Stemmons Fwy
Dallas, TX 75247-3719 - Phone
- (469) 227-7847
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75330 | TX | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
8828 N Stemmons Fwy
Dallas, TX 75247-3719
Mailing address
PO Box 563
Cedar Hill, TX 75106-0563
Phone (692) 510-1914
Other practice location 1
1601 E LaMar Blvd # 2101601E
Arlington, TX 76011-4510
Phone (817) 522-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75330 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1689172595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 563",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751060563",
"telephone_number": "692-510-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8828 N STEMMONS FWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473719",
"telephone_number": "469-227-7847"
}
],
"practiceLocations": [
{
"address_1": "1601 E LaMar Blvd # 2101601E",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760114510",
"country_code": "US",
"telephone_number": "817-522-1095",
"fax_number": "817-624-1213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "ROSE",
"middle_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75330",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.