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IndividualActiveMedicare EnrolledCan Order/Refer

Kelly Lee Rose

LMFT

Counselor - Mental Health

NPI: 1003170143Wayzata, Minnesota, 55391(651) 231-7471Female

About Kelly Lee Rose

Kelly Lee Rose, LMFT, is a female healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1003170143.

Kelly Lee Rose received her medical education at OTHER, graduating in 2011. Their primary practice is located at 3701 SHORELINE DR STE 102A, Wayzata, Minnesota 55391. Patients can reach the office at (651) 231-7471.

In addition to the primary location, Kelly Lee Rose maintains 1 additional practice location. Kelly Lee Rose is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Kelly Lee Rose has been NPI-registered since 2012.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1003170143
Entity Type
Individual
First Name
Kelly
Last Name
Rose
Credential
LMFT
Gender
Female
Medical School
OTHER
Graduation Year
2011
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
3701 SHORELINE DR STE 102A
City
Wayzata
State
Minnesota
ZIP
55391-4000
Country
United States
Phone
(651) 231-7471

Specialty & Taxonomy

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
3701 SHORELINE DR STE 102A
City
WAYZATA
State
MN
ZIP
553914000

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kelly Lee Rose's NPI number?
Kelly Lee Rose's National Provider Identifier (NPI) is 1003170143. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kelly Lee Rose specialize in?
Kelly Lee Rose specializes in Counselor - Mental Health. They received their medical education at OTHER (class of 2011).
Where is Kelly Lee Rose located?
Kelly Lee Rose practices at 3701 SHORELINE DR STE 102A, Wayzata, Minnesota 55391. You can reach them by phone at (651) 231-7471. They also have 1 additional practice location.
Does Kelly Lee Rose accept Medicare?
Yes, Kelly Lee Rose is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Kelly Lee Rose offer telehealth or virtual visits?
Kelly Lee Rose does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kelly Lee Rose is 1003170143.