Active NPI
Martha Rosner, M.A., L.P.C.
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1386777845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4382
- Practice address
- 1333 Iris Ave
Boulder, CO 80304-2226 - Phone
- (303) 447-1665
- NPI assigned
- Mar 14, 2007
- 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 | 4382 | CO | Primary |
Addresses
Primary practice location
1333 Iris Ave
Boulder, CO 80304-2226
Mailing address
3804 Northbrook Dr
Boulder, CO 80304-1434
Phone (720) 565-3034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6977 | Other | MHCBBC EMPLOYEE NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219003382 | CO | Practitioner - Mental Health Counselor | 1254781032 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4382 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386777845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 NORTHBROOK DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041434",
"telephone_number": "720-565-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 IRIS AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042226",
"telephone_number": "303-447-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSNER",
"first_name": "MARTHA",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "4382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHCBBC EMPLOYEE NUMBER",
"identifier": "6977",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.