Individual provider Active NPI

Kristen E Rose, LPC, LIMHP

  • Professional Counselor
  • Sidney, NE
National Provider Identifier
1992130751
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10334 Issued in NC
Practice address
1000 Pole Creek Crossing
Sidney, NE 69162
Phone
(308) 254-5825
Fax
(910) 858-0111
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A10334 NC Primary

Addresses

Primary practice location

1000 Pole Creek Crossing
Sidney, NE 69162

Mailing address

809 Fairfield Cir
Raeford, NC 28376-6722
Phone (402) 699-0954

Other names 1

  • Miss Kristen E Buss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20231213003513 NE Practitioner - Mental Health Counselor 4688046477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10334NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Cheyenne County Hospital Association CurrentSince Jan 1, 2024 Accepting new patients

Locations

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1992130751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FAIRFIELD CIR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766722",
            "telephone_number": "402-699-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK CROSSING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "69162",
            "telephone_number": "308-254-5825",
            "fax_number": "910-858-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPC, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BUSS",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.