Individual provider Active NPI

Pamela Ruth Rosch, M.A.

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1316075104
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
232 Issued in MN
Practice address
4005 W 65TH St
Suite 214
Edina, MN 55435-1720
Phone
(612) 251-7998
Fax
(952) 440-9130
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP0260 MN
Marriage & Family Therapist 106H00000X 232 MN Primary

Addresses

Primary practice location

4005 W 65TH St
Suite 214
Edina, MN 55435-1720

Mailing address

5016 Edgewater Dr
Savage, MN 55378-5614
Phone (952) 440-9130

Other identifiers 1

IdentifierTypeStateIssuer
2H117BUOtherMNBLUE CROSS

Other names 1

  • Mrs. Pamela Ruth Burridge Rosch Other name

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
I20241017001611 MN Practitioner - Marriage and Family Therapist 3577095314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15815 Franklin TRL SE
Suite 500
Prior Lake, MN 55372-2078
Phone (612) 251-7998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP0260MNMDCounseling Psychologist
232MNMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey of the Heart, Inc. CurrentSince Aug 20, 2024 Accepting new patients

Locations

15815 Franklin Trl SE
Ste 500
Prior Lake, MN 55372
Phone (612) 251-7998

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316075104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 EDGEWATER DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785614",
            "telephone_number": "952-440-9130",
            "fax_number": "952-440-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 214",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "612-251-7998",
            "fax_number": "952-440-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCH",
        "first_name": "PAMELA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP0260",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2H117BU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BURRIDGE ROSCH",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.