Andrew Justin Baker Rose, CSAC, QMHP-A, LAC
NPI 1770098139ActiveIndividual· Case Manager/Care Coordinator· Louisa, KY
Case Manager/Care Coordinator (CSAC, QMHP-A, LAC) in Louisa, Kentucky, licensed in KY, IN and VA, with an NPI issued in December 2017.
Overview
| NPI | 1770098139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSAC, QMHP-A, LAC |
| Sole proprietor | Yes |
| NPI issued | Dec 7, 2017 |
| Last updated in NPPES | Feb 13, 2023 |
| Certified by provider | Feb 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | — | KY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 175461 | KY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 86000431A | IN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 0710103608 | VA |
| Counselor, Mental Health | 101YM0800X | 0732008841 | VA |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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