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

Jerry Rose, LPC

Individual provider Professional Counselor · NPI 1235885526

Jerry Rose, LPC is a Professional Counselor in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

825 N Waco Ave
Wichita, KS 67203-3939
Phone: (316) 201-6047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC04019 (KS)

Record details

NPI number1235885526
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 22, 2022
Mailing address825 N Waco Ave, Wichita, KS 67203-3939

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