Individual provider Active NPI

Rose Jolene Hellat

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1124745021
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30795 Issued in MN
Practice address
1113 3Rd St NE
Minneapolis, MN 55413-1101
Phone
(612) 716-2648
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30795 MN Primary

Addresses

Primary practice location

1113 3Rd St NE
Minneapolis, MN 55413-1101

Mailing address

1113 3Rd St NE
Minneapolis, MN 55413-1101
Phone (612) 716-2648

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250623002045 MN Practitioner - Clinical Social Worker 0042722464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassion Collective MN LLCGroup PAC ID 5193237519, 4 clinicians

Practice addresses (Care Compare)

1304 University Ave NE
Suite 301
Minneapolis, MN 55413-1200
Phone (612) 716-2648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30795MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Collective MN LLC Mental Health CurrentSince Apr 29, 2025 Accepting new patients

Locations

1304 University Ave NE
Ste 301
Minneapolis, MN 55413
Phone (612) 716-2648

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1124745021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 3RD ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131101",
            "telephone_number": "612-716-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 3RD ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131101",
            "telephone_number": "612-716-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLAT",
        "first_name": "ROSE",
        "middle_name": "JOLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "30795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.