Individual provider Active NPI

Kali Katherine Rouse, LGSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1841803004
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26540 Issued in MN
Practice address
11800 Wayzata Blvd
Minnetonka, MN 55305-2010
Phone
(612) 271-1665
NPI assigned
Aug 27, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26540 MN Primary

Addresses

Primary practice location

11800 Wayzata Blvd
Minnetonka, MN 55305-2010

Mailing address

6734 Berkshire LN N
Maple Grove, MN 55311-3531
Phone (920) 328-3551

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

State licenses

LicenseStateTypeSpecialty
26540MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ever-Well Therapy Services Current Accepting new patients
All in Consulting LLC Clinical CurrentSince Aug 30, 2020 Accepting new patients

Locations

11800 Wayzata Blvd
Minnetonka, MN 55305
Phone (612) 271-1665

600 Twelve Oaks Center Dr
Ste 208
Wayzata, MN 55391

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, 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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1841803004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 BERKSHIRE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113531",
            "telephone_number": "920-328-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052010",
            "telephone_number": "612-271-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "KALI",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.