Individual provider Active NPI

Denaya Lou-Jean Rockstad, LPCC

  • Professional Counselor
  • Roseville, MN
National Provider Identifier
1437798998
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02315 Issued in MN
Practice address
2589 Hamline Ave N Ste C
Roseville, MN 55113-3185
Phone
(651) 330-6205
Fax
(651) 330-8718
NPI assigned
Jan 2, 2020
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02315 MN Primary

Addresses

Primary practice location

2589 Hamline Ave N Ste C
Roseville, MN 55113-3185

Mailing address

2589 Hamline Ave N Ste C
Roseville, MN 55113-3185
Phone (651) 330-6205

Other names 1

  • Denaya Lou-Jean Rockstad Black 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
I20240208001574 MN Practitioner - Mental Health Counselor 6901249762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Leaf TherapyGroup PAC ID 4688002579, 10 clinicians

Practice addresses (Care Compare)

2589 Hamline Ave N
Suite C
Roseville, MN 55113-3185
Phone (651) 330-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02315MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Therapy CurrentSince Jan 1, 2024 Accepting new patients

Locations

16182 Highway 7
Minnetonka, MN 55345
Phone (651) 330-6205

2589 Hamline Ave N
Ste C
Saint Paul, MN 55113
Phone (651) 330-6205

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1437798998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 HAMLINE AVE N STE C",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133185",
            "telephone_number": "651-330-6205",
            "fax_number": "651-330-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 HAMLINE AVE N STE C",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133185",
            "telephone_number": "651-330-6205",
            "fax_number": "651-330-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKSTAD",
        "first_name": "DENAYA",
        "middle_name": "LOU-JEAN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENAYA",
            "last_name": "BLACK",
            "middle_name": "LOU-JEAN ROCKSTAD",
            "credential": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.