MEDICARE: JESSICA A ROSE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	009394-1	NY
2	101YM0800X	Mental Health Counselor	0093941	NY

General Provider Information

NPI Number	:	1932668233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA A ROSE LMHC

Provider Business Mailing Address
First Line	:	228 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-1502
Country	:	US
Telephone Number	:	212-301-0749
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 GLENMARE MEWS
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-2492
Country	:	US
Telephone Number	:	212-301-0749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2019
Last Update Date	:	01/26/2026

Similar Medicare Providers

1558210559 — ANA SALAZAR
Practice Location Address:

13 N BROADWAY
NYACK, NY
10960-2619

Practice Phone: 914-348-3040
Practice Fax:

1437017704 — ELEANOR HEALTH PROFESSIONAL NJ, LLC
Practice Location Address:

99 MAIN ST OFC 221
NYACK, NY
10960-3109

Practice Phone: 781-487-1107
Practice Fax:

1396067195 — MR. GERALD NEIL KOBLIN PHARMACIST
Practice Location Address:

96 MAIN ST
NYACK, NY
10960-3110

Practice Phone: 845-358-0688
Practice Fax: 845-358-7966

1063717791 — INPATIENT MEDICAL ASSOCIATES OF NEW YORK PLLC
Practice Location Address:

160 N MIDLAND AVE
NYACK, NY
10960-1912

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

1174627293 — NYACK EMERGENCY MEDICAL ASSOCIATION PLLC
Practice Location Address:

160 N MIDLAND AVE
NYACK, NY
10960-1912

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

1083617542 — MELODIE PARKER LCSW
Practice Location Address:

48 BURD ST , STE 201
NYACK, NY
10960-3226

Practice Phone: 845-353-9333
Practice Fax:

Directions to “ JESSICA A ROSE LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.