Krysta Rae Roemeling, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01718 Issued in MN

Practice address

1900 Centracare Cir Ste 2475
Saint Cloud, MN 56303-5000

Phone

(320) 229-5111

Fax

(320) 229-5111

NPI assigned

Dec 17, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Medicare reassignment NPD
• KR Counseling

  • Mental Health Counselor
  • Saint Cloud, MN
  • NPI 1164232070
  NPD Authorized official
• St. Cloud Hospital

  dba Extended Contract Inpt Psych Services

  • Psychiatric Hospital Unit
  • Saint Cloud, MN
  • NPI 1932419058
  NPD
• St. Cloud Hospital

  dba CentraCare Home Health

  • Home Health Agency
  • Waite Park, MN
  • NPI 1952350605
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1538707971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2475",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5111",
            "fax_number": "320-229-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2475",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5111",
            "fax_number": "320-229-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMELING",
        "first_name": "KRYSTA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Mary Rock, BES, LADC
• Zachary Marcus Rodgers
• Charlotte Ann Roeber, NP
• Kendra L.E. Roehl, LICSW
• Tracy Ann Roehl, APRN CNP
• Amanda Marie Roerick, CNP
• Donna Roerick, CERTIFIED HEALTH COA
• Mark Roerick, D.C.
• Kathleen Ann Roering, LPN
• Hannah Rogak, LMFT

• Mental Health Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.