Individual provider Active NPI

Lynne Marie Rosenberg, LAC, LPC

  • Professional Counselor
  • Durango, CO
National Provider Identifier
1336586981
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.00142545 Issued in CO
Practice address
100 Jenkins Ranch Rd Unit E1
Durango, CO 81301-9473
Phone
(414) 315-0897
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000843 CO
Professional Counselor 101YP2500X LPC.00142545 CO Primary

Addresses

Primary practice location

100 Jenkins Ranch Rd Unit E1
Durango, CO 81301-9473

Mailing address

100 Jenkins Ranch Rd Unit E1
Durango, CO 81301-9473
Phone (414) 315-0897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240313001499 CO Practitioner - Mental Health Counselor 5395181309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000843COMDAddiction (Substance Use Disorder) Counselor
LPC.00142545COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Mountain Healing Professional CurrentSince Aug 30, 2020 Accepting new patients
Southwest Colorado DBT LLC Professional CurrentSince Feb 13, 2022 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 31, 2024 Accepting new patients
Aspire Higher, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Amber Cox, LLC PastSince Jul 28, 2019 Accepting new patients

Locations

1309 E 3rd Ave
Unit B5
Durango, CO 81301
Phone (414) 315-0897

100 Jenkins Ranch Rd
Unit E1
Durango, CO 81301
Phone (970) 422-3830

1309 E 3rd Ave
Ste B5
Durango, CO 81301
Phone (414) 315-0897

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 5

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1336586981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JENKINS RANCH RD UNIT E1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019473",
            "telephone_number": "414-315-0897",
            "fax_number": "970-764-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JENKINS RANCH RD UNIT E1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019473",
            "telephone_number": "414-315-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000843",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.00142545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.