Kyle Rosebaugh, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10-351 Issued in AZ

Practice address

1129 W Iron Springs Rd
Prescott, AZ 86305-1623

Phone

(928) 482-2212

NPI assigned

May 13, 2015

Sex

Male

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

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.

• Grace & Peace Counseling, LLC

  • Mental Health Counselor
  • Prescott, AZ
  • NPI 1588287858

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1699153395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W IRON SPRINGS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623",
            "telephone_number": "928-482-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W IRON SPRINGS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623",
            "telephone_number": "928-482-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBAUGH",
        "first_name": "KYLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "10-351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Rohde
• Cindy Alexandra Tuttle Rollins, PSY.D
• Katherine Lynn Romines, LMSW
• Nancy Concepcion Rosales, APRN, MSN, FNP
• Keith L Rosdahl, D.D.S., P.C.
• Stephanie Rosebaugh, LMFT
• Jennifer Roseman, L.AC.
• Naomi Wendy Rosenberg, RPH
• Rebecca Ross, APRN, FNP-C
• Beth Rossi, LCSW

• Marriage & Family Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.