JERRY ROSE LPC NPI 1235885526

NPI Information

NPI: 1235885526
Provider Name: JERRY ROSE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
825 N WACO AVE
WICHITA, KS
ZIP 67203
Phone: (316) 201-6047
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Jerry Rose, LPC is a professional counselor in Wichita, KS. Jerry Rose, LPC NPI is 1235885526. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

825 N WACO AVE
WICHITA, KS
ZIP 67203-939
Phone: (316) 201-6047

The enumeration date for this NPI number is 2/24/2022 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC04019	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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