Debra L Rose, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006734 Issued in MI

Practice address

3573 Hollywood Rd
Saint Joseph, MI 49085

Phone

(269) 428-4789

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristin Emanuel LLC

  • Clinical Psychologist
  • Saint Joseph, MI
  • NPI 1326590928
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1992288864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 STEVENSVILLE BARODA RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279782",
            "telephone_number": "269-326-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-428-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Ann Rommel, OT
• Rudolf David Ronto, DDS
• Gregory Clair Rood, M.D.
• Cailey Rooker, PA-C
• Catharine Roos, MD
• Todd Earl Rose, PT
• Nathaniel Ryan Rosenbaum, DPT
• Rebekah Rosenbaum
• Cassie Jane Ross, BCBA
• Erica Ross, LCSW, LMSW

• Marriage & Family Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.