Active NPI
Karen Lee Rosman-Bangasser, CPRP MS
- Mental Health Counselor
- Spicer, MN
National Provider Identifier
1053597583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 110 3Rd Ave
Spicer, MN 56288-9671 - Phone
- (320) 796-2471
- Fax
- (320) 796-5625
- NPI assigned
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
110 3Rd Ave
Spicer, MN 56288-9671
Mailing address
801 Nevada Ave
Morris, MN 56267-1865
Phone (320) 589-3077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21102100 | Other | MN | MEDICARE |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1053597583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 NEVADA AVE",
"city": "MORRIS",
"state": "MN",
"postal_code": "562671865",
"telephone_number": "320-589-3077",
"fax_number": "320-589-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 3RD AVE",
"city": "SPICER",
"state": "MN",
"postal_code": "562889671",
"telephone_number": "320-796-2471",
"fax_number": "320-796-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSMAN-BANGASSER",
"first_name": "KAREN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CPRP MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "21102100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spicer, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.