MRS. AUDREY ROSE MA
NPI 1750853396
Counselor - Professional in Niles, IL
About Mrs. Audrey Rose Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AUDREY ROSE MA (NPI 1750853396) is an individual professional provider in Niles, Illinois, licensed in Illinois (180013837) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Audrey Rose Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audrey Rose's NPI number?
The NPI number for Audrey Rose is 1750853396. It was assigned to this individual provider in the NPPES registry on December 20, 2018.
Where is Audrey Rose located?
Audrey Rose practices at 6450 W Touhy Ave, Niles, IL 60714. The listed phone number is (847) 869-0520.
What is Audrey Rose's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Audrey Rose enrolled in Medicare?
Yes. Audrey Rose is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Audrey Rose was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Audrey Rose, MA · NPI 1750853396
Professional provider in Niles, Illinois. Individual provider, active in the CMS NPPES registry since December 20, 2018.
## Identity
- **NPI:** 1750853396 (Entity type: Individual)
- **Enumerated:** December 20, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180013837 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6450 W TOUHY AVE, Niles, IL 60714-4512
- **Phone:** (847) 869-0520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750853396) · Data from the CMS NPPES public registry.