Alison Rosenbaum, LMHC
Individual provider Active NPI Mental Health Counselor · Peru, NY
NPI 1740568880 · NPPES record last updated Jul 22, 2011
Key facts
- NPI
- 1740568880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 004591-1 (NY)
- Practice address
- 12 Elm Street
Peru, NY 12972 - Phone
- (518) 643-6894
- Fax
- (518) 643-8709
- NPI assigned
- Jul 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004591-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004591-1 | NY | Yes |
Addresses
Primary practice location
12 Elm Street
Peru, NY 12972
Mailing address
PO Box 41
Peru, NY 12972-0041
Phone (518) 643-6894
Other providers in Peru, NY
- Nurtured Minds LCSW, PLLC
- Christina Lee Perry
- Peru Central School District
- Peru Family Medicine, PLLC
- Peru Pharmacy Inc.
- Michelle Marie Rushby
- Brittany Patinka Saunders
- Shady Grove Farm and Wellness Center
- Lawrence Kenneth Shanley
- Lawrence Ketrick Shanley
All providers in Peru, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.