Wendi Paige Rose
Counselor, Professional in Big Stone Gap, VA. Individual provider (NPI-1).
NPI number1063550366
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1063550366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Wendi Paige Rose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Oct 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701007932 | VA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3169 2nd Ave EastWise County Behavioral Health Services
Big Stone Gap, VA 24219
Phone 276-523-8360 · Fax 276-523-8362
Mailing address
Po Box 9054Gray, TN 37615-9054
Phone 423-467-3600 · Fax 423-467-3696
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Professional Counselor providers in Big Stone Gap · All 278 providers in Big Stone Gap
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