Ingrid Rose, PH.D LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3057 Issued in OR

Practice address

922 NW 11TH Ave
Apt 403
Portland, OR 97209-2776

Phone

(503) 248-1608

Fax

(503) 248-1608

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1740359843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NW 11TH AVE",
            "address_2": "APT 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092776",
            "telephone_number": "503-248-1608",
            "fax_number": "503-248-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 NW 11TH AVE",
            "address_2": "APT 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092776",
            "telephone_number": "503-248-1608",
            "fax_number": "503-248-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "PH.D LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Paul Rose I
• Diane K Rose, CADC III, QMHP
• Elle G Rose, PHARMD
• Eric Rose, MA
• Grae June Rose
• Jennifer Ann Rose, MD
• Jennifer Louise Rose, N.D.
• Judy Perry Rose, MD
• Kay Kay Rose
• Lauren Hollingsworth Rose, MD

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.