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

Mrs. Audrey Rose, MA

Individual provider Professional Counselor · NPI 1750853396

Mrs. Audrey Rose, MA is a Mental Health Counselor in Niles, Illinois. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6450 W Touhy Ave
Niles, IL 60714-4512
Phone: (847) 869-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 53 W Jackson Blvd Ste 709, Chicago, IL 60604-3475 — (262) 661-2175

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180013837 (IL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1750853396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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