Rose Obaze, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13926 Issued in TX

Practice address

407 N Cedar Ridge Dr Ste 227
Duncanville, TX 75116-3169

Phone

(214) 460-4285

Fax

(972) 709-1848

NPI assigned

Jun 18, 2008

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1912168337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CANDLELIGHT AVE",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373314",
            "telephone_number": "214-460-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR STE 227",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163169",
            "telephone_number": "214-460-4285",
            "fax_number": "972-709-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAZE",
        "first_name": "ROSE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4220",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0957664-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Nunez
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• Nursing Care of Texas
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• Brenda Joyce Obrien, LOTA
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Tiffany Marie Odgers
• Ethelbert Onuefi Odo, NP-C
• Augustina Oluchi Ogbonna, NURSE PRACTITIONER

• Professional Counselor in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.