Iesha P Rosenboro, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC13623 Issued in MD

Practice address

2 Industrial Park Dr Ste C
Waldorf, MD 20602-2729

Phone

(301) 792-7207

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1821693946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11288 BURBERRY ST",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953187",
            "telephone_number": "301-793-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK DR STE C",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022729",
            "telephone_number": "301-792-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11288 Burberry St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953187",
            "country_code": "US",
            "telephone_number": "240-435-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBORO",
        "first_name": "IESHA",
        "middle_name": "P",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": "0060",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC13623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS",
            "identifier": "LC13623",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCAPC CERTIFIED PEER RECOVERY SPECIALIST",
            "identifier": "0060",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "irosenboro@herecenter.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11288 Burberry St",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206953187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Client Case Conceptualization",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11288 Burberry St",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206953187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew S. Roh, M.D.
• Julia Yvette Romero, M.S.
• Ronald K. Criss, D.P.M.,P.C.
• William Javier Rosales Gonzalez, MD
• Julius R Rosales, OT
• Mikel Rosenboro
• Karlene Vanessa Ross, M.D.
• Stacy O. Ross, M.D.
• Jacqueline Rouse-Johnson, RN, IBCLC, RLC
• Rows Healthcare, LLC (ROWS Gynecology)

• Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.