Jessica Rosen-Samuels

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010442 Issued in NY

Practice address

566 7TH Ave FL 4
New York, NY 10018-1802

Phone

(212) 564-7631

Fax

(212) 654-7819

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1992208961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 7TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181802",
            "telephone_number": "212-564-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 7TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181802",
            "telephone_number": "212-564-7631",
            "fax_number": "212-654-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN-SAMUELS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bree Allison Roseman, M.A., CCC-SLP
• Bruce Roseman, M.D.
• Rosemary B Desloge MD PC
• Anne Rosen Noran, LCSW
• Cyd Rosen-Herrmann, R.D
• Abbey Brod Rosen, OT
• Abigail Rosen, DPT
• Alan J Rosen, D.P.M.
• Alexa Rosen, OTD, OTR/L
• Alison Rosen

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.