Organization Active NPI

Rochester Therapy Center

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1205449303
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ROCHESTER THERAPY CENTER
Doing business as
Rochester Therapy Center
Practice address
1530 Greenview Dr SW Ste 113
Rochester, MN 55902-1080
Phone
(507) 273-3768
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Dana L Phenix, DFMFTNPI 1336689496
Title
Psychotherapist and Neurotherapist
Phone
(507) 273-3768

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1530 Greenview Dr SW Ste 113
Rochester, MN 55902-1080

Mailing address

74823 260TH Ave
Hayfield, MN 55940-8403
Phone (507) 273-3768

Other names 1

  • Rochester Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125003597 MN Part B Supplier - Clinic/Group Practice 4183077183 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

1530 Greenview Dr SW
Ste 1
Rochester, MN 55902

1530 Greenview Dr SW
Ste 113
Rochester, MN 55902
Phone (507) 261-4049

1530 Greenview Dr SW
Ste 117
Rochester, MN 55902
Phone (507) 261-4049

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1205449303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74823 260TH AVE",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "559408403",
            "telephone_number": "507-273-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 GREENVIEW DR SW STE 113",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021080",
            "telephone_number": "507-273-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "PHENIX",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND NEUROTHERAPIST",
        "authorized_official_telephone_number": "507-273-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DFMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2020; 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.