Individual provider Active NPI

Alyssa Kay Kintzinger, LMFT

  • Marriage & Family Therapist
  • New Hope, MN
National Provider Identifier
1568011450
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4900 Highway 169 N Ste 220
New Hope, MN 55428-4058
Phone
(612) 217-0084
NPI assigned
Sep 4, 2019
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

4900 Highway 169 N Ste 220
New Hope, MN 55428-4058

Mailing address

310 Clifton Ave
Minneapolis, MN 55403-3218

Other names 1

  • Alyssa Kay Rosenow Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702001565 MN Practitioner - Marriage and Family Therapist 7911410915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lineage CounselingGroup PAC ID 8426575887, 3 clinicians

Practice addresses (Care Compare)

4900 Hwy 169 N
Suite 220
New Hope, MN 55428-4058
Phone (612) 217-0084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4198MNMDProfessional Counselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1568011450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-217-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZINGER",
        "first_name": "ALYSSA",
        "middle_name": "KAY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "ROSENOW",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.