Individual provider Active NPI

Corina Rose

  • Mental Health Counselor
  • Montpelier, VT
National Provider Identifier
1447320965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000097 Issued in VT
Practice address
7 Main St
Montpelier, VT 05602-2870
Phone
(802) 223-2720
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 068-0000097 VT Primary

Addresses

Primary practice location

7 Main St
Montpelier, VT 05602-2870

Mailing address

7 Main St
Montpelier, VT 05602-2870
Phone (802) 223-2720

Other identifiers 1

IdentifierTypeStateIssuer
1011192MedicaidVT

Other names 1

  • Ms. Karen Kreda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240823001665 VT Practitioner - Mental Health Counselor 4880133743 Practice locations: Barre, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Barre, VT 05641
Phone (802) 272-5436

20 Ladd Rd
Barre, VT 05641-9632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068-0000097VTMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447320965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022870",
            "telephone_number": "802-223-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022870",
            "telephone_number": "802-223-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CORINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011192",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KREDA",
            "prefix": "MS.",
            "credential": "MACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.