LORI M ROSE
NPI 1477250082
Counselor - Mental Health in N Syracuse, NY

Active since February 14, 2023PECOS EnrolledAccepts Medicare Assignment
113 CHURCH ST, N SYRACUSE, NY 13212(315) 415-0308 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori M Rose NPPES

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

LORI M ROSE (NPI 1477250082) is an individual mental health provider in N Syracuse, New York and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477250082
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLORI M ROSE
Location Address113 CHURCH STN Syracuse, NY 13212-2370
Mailing Address113 Church StN Syracuse, NY 13212-2370 · (315) 415-0308
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1477250082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
113 CHURCH ST, N Syracuse, NY 13212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori M Rose is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173058666
PECOS Enrollment IDI20241120002942
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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1 ADLER DR STE 5
East Syracuse, NY 13057
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
113 CHURCH ST
NORTH SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
NORTH SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
NORTH SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
NORTH SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
N SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
N SYRACUSE, NY 13212
Acupuncturist
113 CHURCH ST
NORTH SYRACUSE, NY 13212
Counselor (Mental Health)
113 CHURCH ST
NORTH SYRACUSE, NY 13212

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 Lori Rose's NPI number?

The NPI number for Lori Rose is 1477250082. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Lori Rose located?

Lori Rose practices at 113 Church St, N Syracuse, NY 13212. The listed phone number is (315) 415-0308.

What is Lori Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lori Rose enrolled in Medicare?

Yes. Lori Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lori Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Rose reassigns Medicare benefits to Branches Of Growth Mental Health Counseling, PLLC (East Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Rose was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.