Individual provider Active NPI

Roseann Marie Schultz, MA, LPCC

  • Professional Counselor
  • Rochester, MN
National Provider Identifier
1073136743
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01833 Issued in MN
Practice address
1700 Broadway Ave N Ste 106
Rochester, MN 55906-4144
Phone
(507) 951-8517
Fax
(507) 824-4048
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01833 MN Primary

Addresses

Primary practice location

1700 Broadway Ave N Ste 106
Rochester, MN 55906-4144

Mailing address

1700 Broadway Ave N Ste 106
Rochester, MN 55906-4144
Phone (507) 951-8517

Other identifiers 1

IdentifierTypeStateIssuer
922105065OtherIRS

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 Arts

State licenses

LicenseStateTypeSpecialty
CC01833MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Mental Health and Recovery, LLC CurrentSince Jun 4, 2023 Accepting new patients

Locations

1700 N Broadway
Ste 102
Rochester, MN 55906
Phone (507) 206-6650

1700 Broadway Ave N
Ste 106
Rochester, MN 55906
Phone (507) 951-8517

Organizations & group practices 1

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1073136743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY AVE N STE 106",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064144",
            "telephone_number": "507-951-8517",
            "fax_number": "507-824-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY AVE N STE 106",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064144",
            "telephone_number": "507-951-8517",
            "fax_number": "507-824-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ROSEANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "922105065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.