Individual provider Active NPI

Raejean Sue Rosedale, MA, LMHC

  • Mental Health Counselor
  • Marshalltown, IA
National Provider Identifier
1982909057
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1483 Issued in IA
Practice address
506 W Boone St
Marshalltown, IA 50158-2560
Phone
(641) 854-0500
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 1483 IA Primary

Addresses

Primary practice location

506 W Boone St
Marshalltown, IA 50158-2560

Mailing address

506 W Boone St
Marshalltown, IA 50158-2560
Phone (641) 854-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240201000919 IA Practitioner - Mental Health Counselor 8921451360 Practice locations: Marshalltown, IA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1483IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Christian Counseling Services CurrentSince Jun 11, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1982909057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W BOONE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582560",
            "telephone_number": "641-854-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W BOONE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582560",
            "telephone_number": "641-854-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEDALE",
        "first_name": "RAEJEAN",
        "middle_name": "SUE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.