Active NPI
Jennifer Rosa
- Counselor
- Plainville, CT
National Provider Identifier
1821435017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178280864
- Practice address
- 91 Northwest Dr
Plainville, CT 06062-1534 - Phone
- (860) 793-4200
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178280864 | CT | Primary |
Addresses
Primary practice location
91 Northwest Dr
Plainville, CT 06062-1534
Mailing address
21 Holmes St Apt 1B
East Hartford, CT 06118-2163
Phone (860) 967-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178280864 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1821435017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLMES ST APT 1B",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061182163",
"telephone_number": "860-967-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 NORTHWEST DR",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621534",
"telephone_number": "860-793-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "178280864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.