Individual provider Active NPI

Rose Reed

  • Mental Health Counselor
  • Manitowoc, WI
National Provider Identifier
1720662018
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8790-125 Issued in WI
Practice address
3733 Dewey St
Manitowoc, WI 54220-5844
Phone
(920) 663-1035
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8790-125 WI Primary

Addresses

Primary practice location

3733 Dewey St
Manitowoc, WI 54220-5844

Mailing address

3 Riverview Dr
Manitowoc, WI 54220-3767
Phone (920) 663-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240224000096 WI Practitioner - Mental Health Counselor 4082059548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Treatment Services, Inc.Group PAC ID 6608267430, 7 clinicians

Practice addresses (Care Compare)

3733 Dewey St
Manitowoc, WI 54220-5844
Phone (920) 663-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8790-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Treatment Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Core Treatment Services, Inc. CurrentSince Apr 27, 2025 Accepting new patients

Locations

3733 Dewey St
Manitowoc, WI 54220
Phone (920) 663-1035

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1720662018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVERVIEW DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203767",
            "telephone_number": "920-663-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 DEWEY ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205844",
            "telephone_number": "920-663-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8790-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.