Active NPI
Joel Rosano-Alvarez, M.A., C.A.D.C.1,
- Mental Health Counselor
- Woodburn, OR
National Provider Identifier
1962567479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IN PROCESS
- Practice address
- 302 W Hayes St
Woodburn, OR 97071-4616 - Phone
- (503) 566-2901
- Fax
- (503) 566-2977
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IN PROCESS | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01-P-09 | OR | |
| Nurse's Aide | 376K00000X | OR |
Addresses
Primary practice location
302 W Hayes St
Woodburn, OR 97071-4616
Mailing address
PO Box 50
Mount Angel, OR 97362-0050
Phone (503) 566-2901
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-P-09 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| IN PROCESS | OR | MD | Urology Physician |
| 000039529CNA | OR | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1962567479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50",
"city": "MOUNT ANGEL",
"state": "OR",
"postal_code": "973620050",
"telephone_number": "503-566-2901",
"fax_number": "503-566-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W HAYES ST",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970714616",
"telephone_number": "503-566-2901",
"fax_number": "503-566-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSANO-ALVAREZ",
"first_name": "JOEL",
"name_prefix": "Mr.",
"credential": "M.A., C.A.D.C.1,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "IN PROCESS",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "01-P-09",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.