MEDICARE: MS. ROSE NESS MA, LMHC, CDP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00002135	WA
2	101YM0800X	Mental Health Counselor	LH00009299	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP00002135	OTHER	WA	WA STATE DOH
2	LH00009299	OTHER	WA	WA STATE DOH

General Provider Information

NPI Number	:	1215182209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSE NESS MA, LMHC, CDP

Provider Business Mailing Address
First Line	:	8212 S MARCH POINT RD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8212 S MARCH POINT RD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:

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

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	10/31/2022

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