Active NPI
Carol Ann Gronseth, M.S.,L.P.
- Psychologist
- Rochester, MN
National Provider Identifier
1629131164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 3678
- Practice address
- 315 Elton Hills Dr NW
Rochester, MN 55901-2477 - Phone
- (507) 287-7105
- Fax
- (507) 529-4570
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP 3678 | MN | Primary |
Addresses
Primary practice location
315 Elton Hills Dr NW
Rochester, MN 55901-2477
Mailing address
5630 County Road 103 NW
Byron, MN 55920-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 3678 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629131164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 COUNTY ROAD 103 NW",
"city": "BYRON",
"state": "MN",
"postal_code": "559204105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ELTON HILLS DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012477",
"telephone_number": "507-287-7105",
"fax_number": "507-529-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONSETH",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "M.S.,L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 3678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.