Judy Rotach Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00300 Issued in MN

Legal business name

JUDY ROTACH COUNSELING, PLLC

Practice address

900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439

Phone

(651) 482-9361

Fax

(651) 482-9888

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Judy L Rotach, MA, LPCC

Title

Professional Clinical Counselor

Phone

(651) 482-9361

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1497160782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126439",
            "telephone_number": "651-482-9361",
            "fax_number": "651-482-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126439",
            "telephone_number": "651-482-9361",
            "fax_number": "651-482-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY ROTACH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ROTACH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "651-482-9361",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.