BREON ROSE
NPI 1639605827
Counselor - Mental Health in Chicago, IL
About Breon Rose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREON ROSE (NPI 1639605827) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.012335) and active in the NPI registry since May 2017.
NPPES Registry Identity
Specialties & Licenses
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 Breon Rose's NPI number?
The NPI number for Breon Rose is 1639605827. It was assigned to this individual provider in the NPPES registry on May 7, 2017.
Where is Breon Rose located?
Breon Rose practices at 1427 W Farwell Ave 3S, Chicago, IL 60626. The listed phone number is (517) 944-5250.
What is Breon Rose's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Breon Rose was last updated on May 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Breon Rose · NPI 1639605827
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 7, 2017.
## Identity
- **NPI:** 1639605827 (Entity type: Individual)
- **Enumerated:** May 7, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 178.012335 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1427 W FARWELL AVE, 3S, Chicago, IL 60626-3426
- **Phone:** (517) 944-5250
## Record status
- **NPPES last updated:** May 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1639605827) · Data from the CMS NPPES public registry.