KELLY LEE ROSE


Address: 3701 Shoreline Dr Ste 102a, 102a, Wayzata, MN 55391-4000
Phone: 6512317471

KELLY LEE ROSE (NPI# 1003170143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003170143
Entity Type Individual
Full Name KELLY LEE ROSE
Credential LMFT
Practice Address 3701 Shoreline Dr Ste 102a
102a
Wayzata
MN 55391-4000
Practice Telephone 6512317471
Mailing Telephone 6512317471
Enumeration Date 2012-07-03
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 2494 MN Behavioral Health & Social Service Providers

Other Providers KELLY ROSE

NPI Name Taxonomy Address Enumeration
1740728096 Kelly Rose Behavioral Analyst 325 Teal Cres, Virginia Beach, VA 23456-4518 2017-02-07
1700955184 Kelly L. Rose Pathology 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 2006-11-07
1932167145 Kelly S Rose Dentist 1100 Main St, Buffalo, NY 14209-2308 2006-05-04
1811502891 Kelly Rose Speech-Language Pathologist 65 Chapel St, Garnerville, NY 10923-1238 2020-09-15
1740824564 Kelly Rose Nurse Practitioner 850 W Baraga Ave, Marquette, MI 49855-4550 2019-11-05
1386119642 Kelly Nicole Rose Occupational Therapist 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 2018-10-12
1932627015 Kelly Rose Behavioral Analyst 1363 Douglas Dr, Traverse City, MI 49696-8980 2017-09-08
1750789343 Kelly Rose Specialist/Technologist 300 E College Ave, Salisbury, MD 21804-6599 2014-12-12
1104044890 Kelly Patrick Rose Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2007-04-20
1558405449 Kelly Rose Psychologist 318 E Basin Rd, New Castle, DE 19720-4214 2007-02-16

Office Location

Street Address 3701 SHORELINE DR STE 102A
102A
City WAYZATA
State MN
Zip Code 55391-4000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700426640 Frank C Thayer Marriage & Family Therapist 3701 Shoreline Dr Ste 102a, Wayzata, MN 55391-4000 2020-01-08
1699179994 Lakeshore Family Therapy, LLC Marriage & Family Therapist 3701 Shoreline Dr Ste 102a, Wayzata, MN 55391-4000 2014-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386456 Alexandra Lloyd Conroy Counselor 3227 Lake Shore Boulevard, Minnetonka, MN 55391 2020-11-07
1417579178 Kate Anne Schroeder Behavioral Analyst 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 2020-05-15
1467940478 Tyler Michael Knutson Chiropractor 1421 E Wayzata Blvd, Wayzata, MN 55391 2018-04-25
1427552025 Emma Nadler, L.L.C. Counselor 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 2018-03-20
1730687757 Global Home Care Inc Home Health 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 2018-01-24
1205362472 Oraphanh Vongpheth Smith Registered Nurse 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 2017-05-10
1386189272 Wayzata Endodontics, P.a. Dentist 101 Lake Street West, Suite 100, Wayzata, MN 55391 2016-12-30
1952763351 Watershed Psychological Services Clinic/Center 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 2016-03-24
1477923571 Robert J. Floren Marriage & Family Therapist 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 2015-10-01
1194101055 Bruce Martinson Family & Cosmetic Dentistry Dentist 317 E Wayzata Blvd, Wayzata, MN 55391 2015-08-03
Find all providers in zip 55391

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609476738 Shelly Melroe Marriage & Family Therapist 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 2020-10-28
1932734761 Anna Barlage Lmft Pllc Marriage & Family Therapist 1001 Twelve Oaks Center Dr Ste 1002d, Wayzata, MN 55391-4301 2020-03-12
1316500689 Alexandra A Wold Marriage & Family Therapist 1907 Wayzata Blvd Ste 100, Wayzata, MN 55391-2064 2019-04-22
1659885366 Michelle Annette Finley Marriage & Family Therapist 700 Twelve Oaks Center Dr Ste 104, Wayzata, MN 55391-4411 2017-11-17
1063876761 Madeline Davis Marriage & Family Therapist 17901 Maple Hill Rd, Wayzata, MN 55391-2732 2016-04-08
1477923571 Robert J. Floren Marriage & Family Therapist 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 2015-10-01
1427390996 Elizabeth Freund Marriage & Family Therapist 901 Twelve Oaks Center Dr Ste 926a, Wayzata, MN 55391 2013-03-22
1467702225 Karen Peterson Marriage & Family Therapist 18080 Berry Ln, Wayzata, MN 55391-3202 2012-09-19
1619283637 Mary Kay Lowe Marriage & Family Therapist 339 Barry Ave So, #281, Wayzata, MN 55391 2010-08-27
1457540296 Debra B. Lindell Marriage & Family Therapist 700 Twelve Oaks Center Dr Ste 261, Wayzata, MN 55391-4440 2007-10-17
Find all providers in WAYZATA

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City WAYZATA
Zip Code 55391

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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