Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roseman Medical Research Institute

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063135796

Roseman Medical Research Institute is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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Practice location Address checks out

1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone: (702) 802-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Social Worker Taxonomy 1041C0700X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1063135796
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRoseman Roseman Medical Research Institute
Authorized official Kristina Connolly — Sr. Exe Dean, Finance & Operation · (702) 802-2878
Other names Roseman Medical Group
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address10530 Discovery Dr, Las Vegas, NV 89135-3050

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