Stephanie Keeffe Rossing, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1185 Issued in MN

Practice address

12760 Aberdeen St NE
Suite 205
Blaine, MN 55449-5845

Phone

(763) 286-4257

Fax

(763) 432-7424

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Restore Counseling, LLC

  • Community/Behavioral Health Agency
  • Blaine, MN
  • NPI 1598099871
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1043378573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 HAMILTON LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432345",
            "telephone_number": "763-286-4257",
            "fax_number": "763-432-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE",
            "address_2": "SUITE 205",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "763-286-4257",
            "fax_number": "763-432-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSING",
        "first_name": "STEPHANIE",
        "middle_name": "KEEFFE",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043378573",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cris Roman, LMFT
• Clay Matthew Romanek, PA-C
• Kendra Kay Romer, PHARMD
• Mitchell L Rosenbloom, CHW
• Mikayla Paige Roseth
• Brad Rote
• Kelly Rothenbuhler
• Jennifer Elaine Rousseau, M.D.
• Royal Housing LLC
• Tracy Dawn Rude, C.M.T.

• Marriage & Family Therapist in Blaine, MN
• Providers in Blaine, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.