Individual provider Active NPI

Rozanne Lynn Rawson, LPC

  • Professional Counselor
  • Potosi, MO
National Provider Identifier
1235724949
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018013946 Issued in MO
Practice address
1 Southtowne Dr
Potosi, MO 63664-5729
Phone
(573) 438-9355
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 2018013946 MO Primary

Addresses

Primary practice location

1 Southtowne Dr
Potosi, MO 63664-5729

Mailing address

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

Other practice location 1

508 W Pine St
Farmington, MO 63640-1426
Phone (573) 664-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250226003719 MO Practitioner - Mental Health Counselor 5496275919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

PO Box
Suite 761
Potosi, MO 63664-0761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Dec 21, 2024 Accepting new patients
Great Mines Health Center CurrentSince Dec 21, 2024 Accepting new patients

Locations

508 W Pine St
Farmington, MO 63640
Phone (573) 664-1100

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1235724949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401426",
            "country_code": "US",
            "telephone_number": "573-664-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "ROZANNE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018013946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

Verify at the official NPI Registry.