Mary Rose, MA LPC CACII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11721 Issued in CO

Practice address

709 3Rd Ave
Longmont, CO 80501-5926

Phone

(720) 340-2710

NPI assigned

Aug 4, 2014

Last updated

Aug 4, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1912316993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805021301",
            "telephone_number": "720-340-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015926",
            "telephone_number": "720-340-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARY",
        "credential": "MA LPC CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "11721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Rooney, DVM
• Rooted Soma Therapy Collective
• Cynthia S Ropek, M.A., L.P.C.
• Samantha A Rosa, MT
• Amy Sharon Rose, FNP
• Whitley Rose, MA, LPC
• Ellen Rosenberg, MED, LPC
• Patti R. Rosquist, MD
• Jen Ross, PSYCHOTHERAPIST
• Stephanie Ross

• Addiction (Substance Use Disorder) Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.