Individual provider Active NPI

Allyson May Rose, LPCC, LADC

  • Mental Health Counselor
  • New Brighton, MN
National Provider Identifier
1033605639
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2178 Issued in MN
Practice address
900 Long Lake Rd Ste 215
New Brighton, MN 55112-6428
Phone
(651) 900-0233
NPI assigned
Jul 6, 2018
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305094 MN
Mental Health Counselor 101YM0800X 2178 MN Primary

Addresses

Primary practice location

900 Long Lake Rd Ste 215
New Brighton, MN 55112-6428

Mailing address

900 Long Lake Rd Ste 215
New Brighton, MN 55112-6428

Other practice location 1

1360 Energy Park Dr Ste 340
Saint Paul, MN 55108-5298
Phone (651) 646-8985

Other names 1

  • Allyson May Adams Former name

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

State licenses

LicenseStateTypeSpecialty
305094MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalis Counseling and Psychology Solutions, P.a. PastSince Jun 27, 2020 Accepting new patients
River City Mental Health Clinic, P.a. PastSince Jan 7, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1033605639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 215",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 215",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428",
            "telephone_number": "651-900-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Energy Park Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551085298",
            "country_code": "US",
            "telephone_number": "651-646-8985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALLYSON",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305094",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "ADAMS",
            "middle_name": "MAY",
            "credential": "LPCC LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.