Individual provider Active NPI

Courtney Marquis Rosemond, MS, CRC, LCAS, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
National Provider Identifier
1902133457
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1541 Issued in NC
Practice address
1206 Evans St
Suite 24
Greenville, NC 27834-4102
Phone
(252) 364-2853
Fax
(252) 364-2853
NPI assigned
Nov 4, 2009
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1541 NC Primary
Professional Counselor 101YP2500X 8362 NC

Addresses

Primary practice location

1206 Evans St
Suite 24
Greenville, NC 27834-4102

Mailing address

PO Box 7281
Greenville, NC 27835-7281
Phone (252) 364-2853

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8362NCMDProfessional Counselor
1541NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dove United Counseling and Assessment Services Addiction (Substance Use Disorder) Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1902133457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7281",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278357281",
            "telephone_number": "252-364-2853",
            "fax_number": "252-364-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST",
            "address_2": "SUITE 24",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-364-2853",
            "fax_number": "252-364-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMOND",
        "first_name": "COURTNEY",
        "middle_name": "MARQUIS",
        "name_prefix": "Mr.",
        "credential": "MS, CRC, LCAS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1541",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.