Jeffrey Rosendahl, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-20391 Issued in AZ

Practice address

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313

Phone

(602) 279-5262

Fax

(602) 279-5393

NPI assigned

Oct 22, 2021

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Rose Valley Counseling

  • Professional Counselor
  • Maricopa, AZ
  • NPI 1477360576
  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1750045092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19427 N GABRIEL PATH",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385699",
            "telephone_number": "480-401-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19427 N Gabriel Path",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851385699",
            "country_code": "US",
            "telephone_number": "480-401-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENDAHL",
        "first_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Arlen Rosenberg, MD
• Robert B Rosenberg, M.D.
• Gerald Arthur Rosenblum, MD
• Holly Anne Rosenblum, ED.S.
• Gianna Rosenboom
• Amy Rosenfeld, MD
• David M Rosenfeld, M.D.
• Melissa Rubenzik Rosenfeld, MD
• William Rosenfeld, L.P.C.
• Richard J Rosengard, D.O.

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.