Active NPI
Kathryn Rose
- Mental Health Counselor
- Waukesha, WI
National Provider Identifier
1336946458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Time Counseling Services, Inc. | Current | 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.
-
- Professional Counselor
- Waterford, WI
- NPI 1093496283
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.