Doug Rose, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2509 Issued in LA

Practice address

2545 Highway 4
Jonesboro, LA 71251-6909

Phone

(318) 439-1399

Fax

(855) 334-8166

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By the provider in NPPES

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

Other names 1

• Robert Doug Rose Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Daisy Resources LLC

  • Community/Behavioral Health Agency
  • Jonesboro, LA
  • NPI 1427446046
  NPD (past)

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1801287248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "QUITMAN",
            "state": "LA",
            "postal_code": "712680009",
            "telephone_number": "318-439-1399",
            "fax_number": "855-334-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HIGHWAY 4",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712516909",
            "telephone_number": "318-439-1399",
            "fax_number": "855-334-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DOUG",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ROSE",
            "middle_name": "DOUG",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Janie Rogers
• Jonathan Rogers
• Bryan David Rosedale, MD
• Lauren Kennedy Ryan
• Latavia Salsberry
• Miranda Horton Savana, PHARM.D
• Stephanie K Searing, CCC-SLP

• Professional Counselor in Jonesboro, LA
• Providers in Jonesboro, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.