Rose M Redix, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16991 Issued in TX

Practice address

303 Jamiston St
Texarkana, TX 75501-1842

Phone

(903) 306-0468

Fax

(903) 306-0468

NPI assigned

Jul 31, 2006

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

Other identifiers 2

Other names 1

• Rose M Redix Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Alaniz Counseling and Behavioral Center, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1811288731
  Medicare reassignment NPD
• The Lighthouse Group

  • Case Management Agency
  • Texarkana, TX
  • NPI 1396187324
  NPD (past) Authorized official
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1700892122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 JAMISTON ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755011842",
            "telephone_number": "903-306-0468",
            "fax_number": "903-306-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 JAMISTON ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755011842",
            "telephone_number": "903-306-0468",
            "fax_number": "903-306-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIX",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144267504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83769L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "REDIX",
            "middle_name": "M",
            "credential": "TRANSITION SPEC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Melissa Elizabeth Redfearn, APRN, FNP
• Redwater Independent School District
• Melanie S Reece, LSA/CFA/CST
• Greg Allan Reed, CRNA
• Latia Reed, LMSW
• Samantha Reeder, PHARMD

• Professional Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.