Kelly J Rosekrans

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT50224 Issued in CA

Practice address

934 Hermosa Ave
Suite 11
Hermosa Beach, CA 90254-4122

Phone

(323) 250-2016

NPI assigned

Mar 6, 2007

Last updated

Dec 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Miracles Healing Centers IncGroup PAC ID 8729273594, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  Medicare reassignment Care Compare group NPD
• Wellcomemd NC Clinic PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1013525278
  NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1275663528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 SPEYER LN",
            "address_2": "UNIT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784844",
            "telephone_number": "323-250-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 HERMOSA AVE",
            "address_2": "SUITE 11",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544122",
            "telephone_number": "323-250-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEKRANS",
        "first_name": "KELLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT50224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robynne Rudin, PH.D.
• Alexia Eva Rodriguez
• Amelia Juarez Rogers, M.A. CCC
• Shae Anthony Rohland
• Amanda Rosales, LMFT
• Storm Roy
• Robynne M Rudin, PH.D.
• Zachary Ruff, LMFT
• Joana Ruiz Gutierrez
• Ipzel Ruiz

• Marriage & Family Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.