Active NPI
Rose Counseling
- Clinical Social Worker
- Henderson, TN
National Provider Identifier
1972129062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROSE COUNSELING
- Practice address
- 587 E Main St
Henderson, TN 38340-2440 - Phone
- (731) 608-4141
- NPI assigned
- Jun 24, 2020
- Last updated
- Sep 17, 2020
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q058460 | Medicaid | TN | |
| Q026998 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Henderson, TN
- NPI 1154658722
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": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q058460",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q026998",
"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.