Cassie Lynn Rosenbaum, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1707239 Issued in AR

Practice address

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798

Phone

(501) 891-5492

NPI assigned

Sep 1, 2017

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cassie Cobb Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrics Plus Counseling & Diagnostics LLC

  dba Rise Counseling and Diagnostics

  • Adolescent and Children Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1194217703
  NPD

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1760900419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1707239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "COBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie F. Rose, LCSW
• Tyler Kristopher Rose, M.D.
• Caroline M Rosel, MS,OTR
• Meagan Rosel, M.S.,CCC-SLP
• John M Rosen, MD
• Eric R Rosenbaum, M.D.
• Hannah Moore Rosenbaum
• Thea Rosenbaum, M.D.
• Whitney Paige Rosenbaum, LCSW
• Joshua Alan Rosenberger, DO

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.