Active NPI
Roslyn E Paterson, MA, LPC, BSN, RN
- Professional Counselor
- Roseville, MN
National Provider Identifier
1982920138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00808
- Practice address
- 2233 Hamline Ave N
B10
Roseville, MN 55113-5009 - Phone
- (651) 631-0573
- Fax
- (651) 631-0074
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00808 | MN | Primary |
Addresses
Primary practice location
2233 Hamline Ave N
B10
Roseville, MN 55113-5009
Mailing address
2233 Hamline Ave N
B10
Roseville, MN 55113-5009
Phone (651) 631-0573
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
- Credentials
- Bachelor on Science - Nursing, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00808 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1982920138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 HAMLINE AVE N",
"address_2": "B10",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551135009",
"telephone_number": "651-631-0573",
"fax_number": "651-631-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 HAMLINE AVE N",
"address_2": "B10",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551135009",
"telephone_number": "651-631-0573",
"fax_number": "651-631-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATERSON",
"first_name": "ROSLYN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MA, LPC, BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.