Andrea Lyn Rose, MA, LPC-A, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85402 Issued in TX

Practice address

146 Beau LN
Kyle, TX 78640-4634

Phone

(512) 771-4645

NPI assigned

Apr 28, 2023

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1992493720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BEAU LN",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404634",
            "telephone_number": "512-771-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BEAU LN",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404634",
            "telephone_number": "512-771-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 N LaMar Blvd Ste 5005th",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521027",
            "country_code": "US",
            "telephone_number": "512-766-2607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Kohlers Xing Ste 330",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786402467",
            "country_code": "US",
            "telephone_number": "512-766-2607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "credential": "MA, LPC-A, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marysol Rodriguez
• Stevie Marie Roe
• Angela Rogers
• Annamaria Romano
• Abelardo Rosas, LCSW
• Daniel R Rouch, DO
• Marci Ann Roy, M.D.
• Magdalene Anna Rozmiarek, NP
• Brian Axel Ruiz
• Stephanie Flores Ruiz

• Mental Health Counselor in Kyle, TX
• Providers in Kyle, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.