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Active NPI 1770098139 Individual Practitioner Male Practitioner

Andrew Justin Baker Rose , CSAC, QMHP-A, LAC

Case Manager/Care Coordinator • Louisa, KY

Professional Overview & Biography Verified Profile Summary

Andrew Rose, CSAC, QMHP-A, LAC is a registered healthcare professional specializing in Case Manager/Care Coordinator in Louisa, KY. Practice services are available at 125 S MAIN CROSS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 S Main Cross St

Louisa, KY 412301065

Telephone 6066380938
Fax 8598135394
Associated Practice Facility / Clinic
🏢 Odyssey Inc Facility NPI 1669754248

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Louisa, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
105 Specialists

Practicing in Louisa, KY (2728 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-13
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License KY 175461

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IN 86000431A

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License VA 0710103608

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License VA 0732008841

Definition to come...

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Practice Locations

280 Virginia Ave Ne Ste 104

Norton, VA 242731539

Phone: 2768212442

135 Whitetail Rdg

Clintwood, VA 242286186

Phone: 2768212442

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lois Hubbard

Case Manager/Care Coordinator

NPI 1003034950
Charlotte Williamson , LPCA

Counselor - Professional

NPI 1003165119
John Riley , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1003240953

Certified Alcohol and Drug Counselor

Richard Skeens

Peer Specialist

NPI 1003469321
Keith Jones

Peer Specialist

NPI 1003523994
Bobby Hill , PSS

Peer Specialist

NPI 1003547258

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location February 13, 2023

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)

📍
Updated Business Mailing Address February 13, 2023

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)

📍
Updated Practice Location May 27, 2022

Registered at 280 VIRGINIA AVE NE STE 104, NORTON, VA 242731539 (Tel: 2768212442)

📍
Updated Business Mailing Address May 27, 2022

Registered at PO BOX 983, CLINTWOOD, VA 242280983 (Tel: 2768212442)

👤
Provider Name / Credentials Updated May 27, 2022

Recorded as ANDREW ROSE, CSAC, QMHP-A, LAC

📍
Updated Practice Location October 13, 2020

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066390938)

📍
Updated Business Mailing Address October 13, 2020

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066390938)

📍
Updated Practice Location October 18, 2019

Registered at 113 OAK RIDGE CT, PRESTONSBURG, KY 416538607 (Tel: 6068891602)

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2017

Registered at 400 VENTERS LN, PIKEVILLE, KY 415013016 (Tel: 6066583078)

📍
Updated Business Mailing Address December 07, 2017

Registered at 135 WHITETAIL RDG, CLINTWOOD, VA 242286186 (Tel: 2766390077)

👤
Provider Name / Credentials Updated December 07, 2017

Recorded as ANDREW ROSE, TCADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Counselor (License #175461 in KY)

🟢
Initial NPI Registration & Enumeration December 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770098139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2017
Last Update: February 13, 2023
Sole Proprietor: Yes

Mailing Address

125 S Main Cross St

Louisa, KY 412301065

Phone: 6066380938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.