Active NPI
Juan Rosas
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1881973725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (202) 430-6249
- NPI assigned
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
1413 K St NW FL 4
Washington, DC 20005-4577
Phone (681) 443-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EA890001 | Other | DC | BCBS PARTICIPATING PROVIDER NUMBER: |
Other names 1
- John Rosas
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Mind Center LLC | Clinical | Current | Accepting new patients |
Locations
1413 K St NW
Fl 4
Washington, DC 20005
Phone (202) 430-6249
1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1881973725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 K ST NW FL 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200054577",
"telephone_number": "681-443-5138",
"fax_number": "681-443-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "202-430-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "JUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PARTICIPATING PROVIDER NUMBER:",
"identifier": "EA890001",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "ROSAS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.