Active NPI
Kelly Jean Rokus, LPCC
- Mental Health Counselor
- Winona, MN
National Provider Identifier
1942718028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01721
- Practice address
- 50 W 2ND St Ste 103
Winona, MN 55987-3440 - Phone
- (507) 312-9383
- NPI assigned
- Jan 11, 2018
- Last updated
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01721 | MN | |
| Mental Health Counselor | 101YM0800X | CC01721 | Primary |
Addresses
Primary practice location
50 W 2ND St Ste 103
Winona, MN 55987-3440
Mailing address
50 W 2ND St Ste 103
Winona, MN 55987-3440
Phone (507) 312-9383
Other names 1
- Kelly Jean Mouse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
50 W 2ND St
Suite 103
Winona, MN 55987-3440
Phone (507) 312-9383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01721 | MN | MD | Professional Counselor |
| 1721 | MN | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Wellness LLC | Mental Health | Current | Accepting new patients |
Locations
50 W 2nd St
Ste 103
Winona, MN 55987
Phone (507) 312-9383
Organizations & group practices 1
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": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1942718028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W 2ND ST STE 103",
"city": "WINONA",
"state": "MN",
"postal_code": "559873440",
"telephone_number": "507-312-9383",
"fax_number": "507-229-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W 2ND ST STE 103",
"city": "WINONA",
"state": "MN",
"postal_code": "559873440",
"telephone_number": "507-312-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKUS",
"first_name": "KELLY",
"middle_name": "JEAN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01721",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "CC01721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "MOUSE",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.