Kyle R Rose, LPC, NCC in Mclean, VA - Medicare Counselor Provider

Kyle R Rose, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Mclean, Virginia. His current practice location is 1360 Beverly Road, Suite 200, Mclean, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 831-8300.

Kyle R Rose is licensed to practice in Virginia (license number 0701011286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104452630.

Contact Information

	Kyle R Rose, LPC, NCC
	1360 Beverly Road, Suite 200, Mclean, VA 22101
	(703) 831-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle R Rose
Gender	Male
Speciality	Counselor - Professional
Location	1360 Beverly Road, Suite 200, Mclean, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104452630
Provider Enumeration Date: 03/16/2020
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2961851555
Enrollment ID: I20231207002600

Medical Identifiers

Medical identifiers for Kyle R Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104452630	NPI	-	NPPES
30017639620001	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701011286 (Virginia)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle R Rose allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20210302002411

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle R Rose is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle R Rose, LPC, NCC 1360 Beverly Road, Suite 200, Mclean, VA 22101 Ph: (703) 831-8300	Kyle R Rose, LPC, NCC 1360 Beverly Road, Suite 200, Mclean, VA 22101 Ph: (703) 831-8300

Reviews and Comments

Counselor in Mclean, VA

Ms. Bette J Harrington, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6842 Elm St, Ste. 201, Mclean, VA 22101 Phone: 703-442-7994 Fax: 703-356-1193
Lourie W. Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Place, Mclean, VA 22101 Phone: 703-517-3317
Ms. Katherine Romney Thorn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1350 Beverly Rd, Suite 240, Mclean, VA 22101 Phone: 703-288-9595 Fax: 703-288-9545
Dr. Douglas M Thorpe, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1716 Chain Bridge Rd, Mclean, VA 22101 Phone: 703-903-9696 Fax: 703-821-2505
Ms. Annette B. Kielkopf, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1485 Chain Bridge Rd, Suite 203, Mclean, VA 22101 Phone: 703-288-9022
Dr. Charles Jackson Friedlander, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Pl, Mclean, VA 22101 Phone: 202-607-6666

Kyle R Rose, LPC, NCC - Medicare Counselor in Mclean, VA