Active NPI
Denaya Lou-Jean Rockstad, LPCC
- Professional Counselor
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC02315
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CC02315 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Leaf Therapy | Current | 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.
-
- Community/Behavioral Health Agency
- Roseville, MN
- NPI 1124471107
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
- Christopher Michael Rivers, DMD
- Allison Burns Rixey, MD
- Robert E. Johnson, Inc. (Robert E. Johnson, Licensed Psychologist)
- Robinson Chiropractic, P.a (Brent JC Robinson, D.C.)
- Brent James Charles Robinson, D.C
- Kathryn Marie Roeber, DC
- Haley Rogers, PA-C
- Shari L. Rolandson Wentz, APRN, CNP
- Brooke Rood
- Gabrielle Rosario, DNP, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.