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KYLE R ROSE PHD, LPC, NCC
NPI 1104452630
Counselor - Professional in Mclean, VA

Active since March 16, 2020PECOS Enrolled
1360 BEVERLY ROAD, SUITE 200, MCLEAN, VA 22101(703) 831-8300 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Mar 16, 2020 (2 updates tracked since 2020).

About Kyle R Rose Phd, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE R ROSE PHD, LPC, NCC (NPI 1104452630) is an individual professional provider in Mclean, Virginia, licensed in Pennsylvania (PC018564) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104452630
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE R ROSECredential: PHD, LPC, NCC
Location Address1360 BEVERLY ROAD, SUITE 200Mclean, VA 22101
Mailing Address703 N Market StSelinsgrove, PA 17870-2007 · (717) 921-7004
Phone(703) 831-8300
Sole ProprietorNo
Enumeration DateMarch 16, 2020
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1104452630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in PA · PC018564✔ Licensed in VA · 0701011286
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC018564 (PA), 0701011286 (VA)
1360 BEVERLY ROAD, SUITE 200, Mclean, VA 22101
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Secondary Practice Locations 3

Location 11005 N Glebe Rd Ste 525Arlington, VA 22201-5792 · Phone (804) 207-6737
Location 2313 W Liberty St Ste FLancaster, PA 17603-2799 · Phone (717) 921-7004
Location 3703 N Market StSelinsgrove, PA 17870-2007 · Phone (717) 921-7004

Other Identifiers 1

Medicaid30017639620001VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle R Rose Phd, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Rose's NPI number?

The NPI number for Kyle Rose is 1104452630. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Kyle Rose located?

Kyle Rose practices at 1360 Beverly Road, Suite 200, Mclean, VA 22101. The listed phone number is (703) 831-8300.

What is Kyle Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kyle Rose enrolled in Medicare?

Yes. Kyle Rose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Rose was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.