Individual provider Active NPI

Hannah Rogak, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1003355660
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3005 Issued in MN
Practice address
720 8TH Ave N
Saint Cloud, MN 56303-3420
Phone
(320) 333-9228
Fax
(320) 251-0217
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3005 MN Primary

Addresses

Primary practice location

720 8TH Ave N
Saint Cloud, MN 56303-3420

Mailing address

909 11TH Ave N
Saint Cloud, MN 56303-2954
Phone (612) 760-3558

Other practice location 1

720 8th Ave N
Saint Cloud, MN 56303-3420
Phone (320) 333-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Extraordinary Machine LLC Marriage & Family Therapist Current Accepting new patients
Cedar Hill Therapy, LLC Marriage & Family Therapist Past Accepting new patients

Locations

2303 Wycliff St
Ste 320
Saint Paul, MN 55114
Phone (651) 419-1086

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1003355660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 11TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032954",
            "telephone_number": "612-760-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033420",
            "telephone_number": "320-333-9228",
            "fax_number": "320-251-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 8th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563033420",
            "country_code": "US",
            "telephone_number": "320-333-9228",
            "fax_number": "320-251-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGAK",
        "first_name": "HANNAH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.