Active NPI
Rose Interest Group, Inc.
- Marriage & Family Therapist
- Excelsior, MN
National Provider Identifier
1669690368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.