Organization Active NPI

Rose Interest Group, Inc.

  • Marriage & Family Therapist
  • Excelsior, MN
National Provider Identifier
1669690368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0974 Issued in MN
Legal business name
ROSE INTEREST GROUP, INC.
Practice address
19285 Highway 7
Excelsior, MN 55331-9131
Phone
(612) 386-4864
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stefanie Leighton Rose, MA, LMFT
Title
President
Phone
(612) 386-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0974 MN Primary

Addresses

Primary practice location

19285 Highway 7
Excelsior, MN 55331-9131

Mailing address

4032 Oakland St
St Bonifacius, MN 55375-1163
Phone (612) 386-4864

Other names 1

  • Rose Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

19285 Highway 7
Excelsior, MN 55331
Phone (612) 386-4864

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669690368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 OAKLAND ST",
            "city": "ST BONIFACIUS",
            "state": "MN",
            "postal_code": "553751163",
            "telephone_number": "612-386-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19285 HIGHWAY 7",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319131",
            "telephone_number": "612-386-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE INTEREST GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "LEIGHTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-386-4864",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "0974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.