Kyle R Rose, PHD, LPC, NCC
Kyle R Rose is a Professional Counselor provider (Counselor) practicing in Mclean, VA, registered in the NPPES registry with NPI 1104452630 since 2020. The credential PHD stands for Doctor of Philosophy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104452630 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kyle R Rose |
| Credential | PHD, LPC, NCC |
| Sex | Male |
| Practice address | 1360 BEVERLY ROAD, SUITE 200, Mclean, VA, 22101 |
| Phone | 7038318300 |
| Enumeration date | 2020-03-16 |
| Last updated in NPPES | 2026-01-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | 0701011286 | VA |
| 101YM0800X | Mental Health Counselor | Secondary | PC018564 | PA |
| 101YM0800X | Mental Health Counselor | Secondary | 0701011286 | VA |
| 101YP2500X | Professional Counselor | Primary | PC018564 | PA |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017639620001 | Medicaid | VA | — |
Copy-ready billing details
Provider: Kyle Rose, PHD, LPC, NCC NPI: 1104452630 Taxonomy: 101YP2500X (Professional Counselor) Address: 1360 BEVERLY ROAD, SUITE 200, Mclean, VA, 22101
Verify this record
Cross-check NPI 1104452630 against the authoritative CMS record: view Kyle R Rose on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where does Kyle Rose practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-22.