Eric Paul Christian Rosenquist, MS, LPC, LBP
Individual provider Active NPI Professional Counselor · Cache, OK
NPI 1902198013 · NPPES record last updated May 7, 2011
Key facts
- NPI
- 1902198013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2757 (OK)
- Practice address
- 1204 W E Ave
Cache, OK 73527-9434 - Phone
- (580) 429-9870
- NPI assigned
- May 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0109 | OK | MD | Mental Health Counselor |
| 2757 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0109 | OK | |
| Professional Counselor | 101YP2500X | 2757 | OK | Yes |
Addresses
Primary practice location
1204 W E Ave
Cache, OK 73527-9434
Mailing address
1204 W E Ave
Cache, OK 73527-9434
Phone (580) 429-9870
Other providers in Cache, OK
- Brittany Mansel
- Physiatry Services Inc
- Shelley Ricci
- Craig Alan Roberts
- Rose Garden Clinic, LLC
- Bryan Swietek
- Jennifer Tilley
- Tunnel Vision Recovery LLC
- Tunnel Vision Recovery LLC
- Melissa Zarraga
All providers in Cache, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.