Individual provider Active NPI

Rose Walker, M.A., LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1922478718
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0024151 Issued in CO
Practice address
208 Racquette Dr
Fort Collins, CO 80524-4851
Phone
(970) 310-3406
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015034352 MO
Professional Counselor 101YP2500X LPC.0024151 CO Primary
Mental Health Counselor 101YM0800X 03618 KS

Addresses

Primary practice location

208 Racquette Dr
Fort Collins, CO 80524-4851

Mailing address

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

Other identifiers 1

IdentifierTypeStateIssuer
490025836MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241122004103 KS Practitioner - Mental Health Counselor 5597290809 Reassigns benefits to 2 organizations
I20250213002118 DC Practitioner - Mental Health Counselor 5597290809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc CurrentSince Nov 1, 2024 Accepting new patients
Key Rehabilitation, Inc CurrentSince Nov 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Butterfly Beginnings LLC Professional Current Accepting new patients
Marissa Block LLC Professional CurrentSince Oct 4, 2024 Accepting new patients
Jban, LLC Mental Health Past Accepting new patients
Marissa Block LLC PastSince Jul 2, 2023 Accepting new patients

Locations

2280 S Minneapolis Ave
Wichita, KS 67211
Phone (316) 265-5693

200 E Joppa Rd
Ste 400
Towson, MD 21286
Phone (443) 300-6905

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Interoperability endpoints

  • Direct secure messaging: rosewalker@tdh.allscriptsdirect.net

Organizations & group practices 8

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922478718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROSE",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015034352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0024151",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490025836",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.