Kyle R Rose, LPC, NCC | |
1360 Beverly Road, Suite 200, Mclean, VA 22101 | |
(703) 831-8300 | |
Not Available |
Full Name | Kyle R Rose |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1360 Beverly Road, Suite 200, Mclean, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104452630 | NPI | - | NPPES |
30017639620001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701011286 (Virginia) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Commonwealth Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20210302002411 |
Mailing Address | Practice Location Address |
---|---|
Kyle R Rose, LPC, NCC 1360 Beverly Road, Suite 200, Mclean, VA 22101 Ph: (703) 831-8300 | Kyle R Rose, LPC, NCC 1360 Beverly Road, Suite 200, Mclean, VA 22101 Ph: (703) 831-8300 |
Ms. Bette J Harrington, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6842 Elm St, Ste. 201, Mclean, VA 22101 Phone: 703-442-7994 Fax: 703-356-1193 | |
Lourie W. Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Place, Mclean, VA 22101 Phone: 703-517-3317 | |
Ms. Katherine Romney Thorn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Beverly Rd, Suite 240, Mclean, VA 22101 Phone: 703-288-9595 Fax: 703-288-9545 | |
Dr. Douglas M Thorpe, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1716 Chain Bridge Rd, Mclean, VA 22101 Phone: 703-903-9696 Fax: 703-821-2505 | |
Mrs. Janis W. Gold, LPC, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1407 Layman St, Mclean, VA 22101 Phone: 703-408-4737 | |
Kjerstin Lemke, LPC, NCC, C-DBT Counselor Medicare: Medicare Enrolled Practice Location: 7921 Jones Branch Drive, Suite 311, Mclean, VA 22102 Phone: 703-772-4428 Fax: 571-384-6309 |