Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Justin Baker Rose, CSAC, QMHP-A, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770098139

Mr. Andrew Justin Baker Rose, CSAC, QMHP-A, LAC is an Addiction (Substance Use Disorder) Counselor in Louisa, Kentucky. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana, Kentucky and Virginia.

Licensed in
IN, KY, VA
In the registry since
2017
Specialties on file
6
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
Fax: (859) 813-5394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 135 Whitetail Rdg, Clintwood, VA 24228-6186 — (276) 821-2442
  • 280 Virginia Ave Ne Ste 104, Norton, VA 24273-1539 — (276) 821-2442

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 175461 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 86000431A (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710103608 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0732008841 (VA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1770098139
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC , QMHP-A , LAC
Sole proprietorYes
NPI enumeratedDecember 7, 2017
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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