Individual provider Active NPI

Rosalyn Kramer Monat-Haller, M.ED

  • Marriage & Family Therapist
  • Summerville, SC
National Provider Identifier
1104949494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
SCLISW-CP 1960 Issued in SC
Practice address
145 W Carolina Ave
Summerville, SC 29483-4354
Phone
(843) 873-6935
Fax
(843) 873-6935
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X SCLISW-CP 1960 SC Primary
Marriage & Family Therapist 106H00000X LPC 116 SC

Addresses

Primary practice location

145 W Carolina Ave
Summerville, SC 29483-4354

Mailing address

PO Box 2103
Summerville, SC 29484-2103
Phone (843) 873-6935

Other identifiers 1

IdentifierTypeStateIssuer
WP9960MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20161216002070 SC Practitioner - Clinical Social Worker 9830479484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

122 Alicia Dr
Summerville, SC 29483-3360
Phone (843) 876-6935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC 116SCMDMarriage & Family Therapist
SCLISW-CP 1960SCMDMarriage & Family Therapist
1960SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapeutics LLC CurrentSince Nov 8, 2016 Accepting new patients
Allied Therapeutics LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104949494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2103",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294842103",
            "telephone_number": "843-873-6935",
            "fax_number": "843-873-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W CAROLINA AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294834354",
            "telephone_number": "843-873-6935",
            "fax_number": "843-873-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAT-HALLER",
        "first_name": "ROSALYN",
        "middle_name": "KRAMER",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "SCLISW-CP 1960",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "LPC 116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP9960",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.