Rosa Daneshvar
Individual provider Active NPI Mental Health Counselor · Monona, WI
NPI 1487335337 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1487335337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7404 (WI)
- Practice address
- 5900 Monona Dr Ste E102
Monona, WI 53716-3554 - Phone
- (608) 286-1132
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 19, 2026 through Jan 19, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21565 | CA | MD | Chiropractor |
| 7404 | WI | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7404 | WI | Yes |
Addresses
Primary practice location
5900 Monona Dr Ste E102
Monona, WI 53716-3554
Mailing address
5900 Monona Dr Ste 102
Monona, WI 53716-3556
Other providers in Monona, WI
- Jennifer Lynn Cummings
- Anthony J Curcio
- Molly Patricia Dillon Czech
- Dane County Cytology Center, Inc
- Dane County Family Acupuncture
- Stephanie A Daugherty-Dennis
- Rachel Dawson
- Day One Mental Health Services
- Dennis R Sherraden, DDS, LLC
- Daniel E Di Cerbo
All providers in Monona, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.