ERIC ROSE MA
NPI 1922428564
Counselor - Mental Health in Portland, OR

Q: What is Eric Rose's NPI number?

The NPI number for Eric Rose is 1922428564. It was assigned to this individual provider in the NPPES registry on April 22, 2014. The provider is also known as Eric Norman.

Q: What is Eric Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Rose was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment

905 SE 14TH AVE, PORTLAND, OR 97214(503) 622-8964(503) 715-5469 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Eric Rose Ma NPPES

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

ERIC ROSE MA (NPI 1922428564) is an individual mental health provider in Portland, Oregon and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922428564

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameERIC ROSECredential: MA

Location Address905 SE 14TH AVEPortland, OR 97214-2569

Mailing Address905 Se 14th AvePortland, OR 97214-2569 · (503) 622-8964 · Fax (503) 715-5469

Phone(503) 622-8964

Fax(503) 715-5469

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 22, 2014

Last NPPES UpdateNovember 6, 2023

NPPES CertifiedNovember 6, 2023

✔ NPI 1922428564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

905 SE 14TH AVE, Portland, OR 97214

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Other Names 1

Former Name (1)Eric Norman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

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

Eric Rose Ma 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 ID8921442153

PECOS Enrollment IDI20240215003201

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 Eric Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Larsen Sanchez Psychology, LLC

Same address

Clinical

905 SE 14TH AVE
Portland, OR 97214

Reassigned Medicare billing, Oregon enrollment
60 clinicians in this Medicare group

NPI 1588041388 (503) 622-8964

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 20

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

CHRISTIA LEE SCHULTZ

Counselor (Mental Health)