Individual provider Active NPI

Kathryn Rose

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1336946458
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
S30W24784 W Sunset Dr Ste E
Waukesha, WI 53189-7013
Phone
(262) 689-0819
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

S30W24784 W Sunset Dr Ste E
Waukesha, WI 53189-7013

Mailing address

7957 W Wind Lake Rd Ste E
Waterford, WI 53185-2234
Phone (262) 689-0819

Other practice location 1

7957 W Wind Lake Rd Ste E
Waterford, WI 53185-2234
Phone (262) 689-0819

Other names 1

  • Ms. Katie Rose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Time Counseling Services, Inc. CurrentSince Mar 11, 2025 Accepting new patients

Locations

7957 W Wind Lake Rd
Ste E
Waterford, WI 53185
Phone (262) 689-0819

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, 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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1336946458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 W WIND LAKE RD STE E",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531852234",
            "telephone_number": "262-689-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S30W24784 W SUNSET DR STE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897013",
            "telephone_number": "262-689-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7957 W Wind Lake Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "WI",
            "postal_code": "531852234",
            "country_code": "US",
            "telephone_number": "262-689-0819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ROSE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.