Organization Active NPI

Susan Rosga Counseling LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1194505818
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSAN ROSGA COUNSELING LLC
Practice address
677 N New Ballas Rd
Suite 218
Saint Louis, MO 63141-6732
Phone
(314) 398-1125
Fax
(314) 260-4333
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Susan L Rosga, MSW, LCSWNPI 1689228777
Title
President
Phone
(314) 398-1125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

677 N New Ballas Rd
Suite 218
Saint Louis, MO 63141-6732

Mailing address

2131 Lakeview Dr
Saint Louis, MO 63131-3204
Phone (314) 398-1125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105001214 MO Part B Supplier - Clinic/Group Practice 0547611337 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

677 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 260-4333

677 N New Ballas Rd
Ste 218
Saint Louis, MO 63141
Phone (314) 398-1125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1194505818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 LAKEVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313204",
            "telephone_number": "314-398-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD",
            "address_2": "SUITE 218",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-398-1125",
            "fax_number": "314-260-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ROSGA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSGA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-398-1125",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.