KEY ROSE, LLC NPI 1114513512

Counselor (Professional) in Henderson, NV

NPI 1114513512 Organization Counselor Professional

About KEY ROSE, LLC

Key Rose, Llc is a provider established in Henderson, Nevada specializing in counselor (professional) . The NPI number of Key Rose, Llc is 1114513512 and was assigned on December 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Key Rose, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Monique N Martinez-quiros Dbh, Ms, Lcpc, Lac, (Owner Operator)

NPI

1114513512

Provider NameKEY ROSE, LLC
Provider Location Address2637 W HORIZON RIDGE PKWY STE 100 HENDERSON, NV 89052
Provider Mailing Address213 N STEPHANIE ST STE G HENDERSON, NV 89074
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-19-2020
Last Update Date12-19-2020


Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional

Business Address

KEY ROSE, LLC
2637 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
ZIP 89052
Phone: (702) 608-5160

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Mailing Address

KEY ROSE, LLC
213 N STEPHANIE ST STE G
HENDERSON, NV
ZIP 89074
Phone: (520) 250-0160



Authorized Official

Authorized Official NameDR. MONIQUE N MARTINEZ-QUIROS DBH, MS, LCPC, LAC,
Authorized Official TitleOWNER OPERATOR
Authorized Official Phone(702) 608-5160

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101Y00000XBehavioral Health & Social Service ProvidersCounselorNo

Taxonomy Description: a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)No

Taxonomy Description: Not Available

3101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthNo

Taxonomy Description: Not Available

4103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingNo

Taxonomy Description: a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477190551 AMIE BOURDUA
Individual
Dietitian, Registered2637 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
(702) 716-9552
1396240388DR. MARIA MONIQUE-NICOLE MARTINEZ-QUIROS DBH, LCPC, MS, LAC,
Individual
Counselor2637 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
(702) 608-5160
1366048043HEALING LIGHT
Organization
Marriage & Family Therapist2637 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
(702) 716-0908

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.