Organization Active NPI

Rose Counseling

  • Clinical Social Worker
  • Henderson, TN
National Provider Identifier
1972129062
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSE COUNSELING
Practice address
587 E Main St
Henderson, TN 38340-2440
Phone
(731) 608-4141
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Melina Rose
Title
Owner/Practitioner
Phone
(731) 520-7673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

587 E Main St
Henderson, TN 38340-2440

Mailing address

587 E Main St
Henderson, TN 38340-2440
Phone (731) 520-7673

Other identifiers 2

IdentifierTypeStateIssuer
Q026998MedicaidTN
Q058460MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1972129062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402440",
            "telephone_number": "731-520-7673",
            "fax_number": "731-520-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402440",
            "telephone_number": "731-608-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MELINA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "731-520-7673"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026998",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q058460",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.