NPIMap

Organization Active NPI

Rose Legacy Institute, LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1790419588
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROSE LEGACY INSTITUTE, LLC
Practice address
735A Silverberry Cir SE
Albuquerque, NM 87116-3108
Phone
(505) 585-4276
NPI assigned
Jul 15, 2022
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mrs. Jemia Marie Warner, LCSWNPI 1417554536
Title
Founder and Ceo
Phone
(312) 342-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

735A Silverberry Cir SE
Albuquerque, NM 87116-3108

Mailing address

735A Silverberry Cir SE
Albuquerque, NM 87116-3108
Phone (505) 585-4276

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://roselegacyinstitute.mytheranest.com/home/login Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1790419588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735A SILVERBERRY CIR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163108",
            "telephone_number": "505-585-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735A SILVERBERRY CIR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163108",
            "telephone_number": "505-585-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE LEGACY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JEMIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "312-342-1939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://roselegacyinstitute.mytheranest.com/home/login",
            "affiliation": "N",
            "endpointDescription": "Client portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "735A Silverberry Cir SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871163108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.