Active NPI
Sharon K Rouse, LPC
- Counselor
- Perryville, MO
National Provider Identifier
1992811137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 002602
- Practice address
- 12 N Kingshighway
Perryville, MO 63775 - Phone
- (573) 547-3116
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 002602 | MO | Primary |
Addresses
Primary practice location
12 N Kingshighway
Perryville, MO 63775
Mailing address
1902 Rambart
Cape Girardeau, MO 63701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120881 | Other | MO | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002602 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Perryville, MO
- NPI 1306336086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992811137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 RAMBART",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N KINGSHIGHWAY",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "63775",
"telephone_number": "573-547-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "SHARON",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "002602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "120881",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.