Active NPI
David Allen Rosser, LCMHC
- Professional Counselor
- Mocksville, NC
National Provider Identifier
1912564352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14428
- Practice address
- 1365 Main Street
Suite 102
Mocksville, NC 27028 - Phone
- (336) 753-6422
- NPI assigned
- May 21, 2019
- Last updated
- Apr 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14428 | NC | Primary |
Addresses
Primary practice location
1365 Main Street
Suite 102
Mocksville, NC 27028
Mailing address
PO Box 818
Mocksville, NC 27028-0818
Phone (336) 940-8690
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drosser@lorvenfamily.com | Direct | Lorven Child and Family Development LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14428 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Ground Counseling, PLLC | Current | Accepting new patients | |
| Archway Child and Family Care | Past | Accepting new patients | |
| Lorven Child and Family Development LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mocksville, NC
- NPI 1720714074
-
- Community/Behavioral Health Agency
- Thomasville, NC
- NPI 1699407338
-
- Community/Behavioral Health Agency
- Lexington, NC
- NPI 1952557118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1912564352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 818",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270280818",
"telephone_number": "336-940-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 MAIN STREET",
"address_2": "SUITE 102",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "27028",
"telephone_number": "336-753-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSER",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14428",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drosser@lorvenfamily.com",
"affiliation": "Y",
"affiliationName": "Lorven Child and Family Development LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "264 Greensboro Street Ext",
"city": "Lexington",
"state": "NC",
"country_code": "US",
"postal_code": "272951969",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.