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MR. KELLY PATRICK ROSE
NPI 1104044890
Counselor - Mental Health in Boulder, CO

Active since April 20, 2007
1333 IRIS AVE, BOULDER, CO 80304(303) 413-6233 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly Patrick Rose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY PATRICK ROSE (NPI 1104044890) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104044890
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KELLY PATRICK ROSE
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address960 Laramie Blvd Unit HBoulder, CO 80304-4782 · (303) 246-0487
Phone(303) 413-6233
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104044890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1333 IRIS AVE, Boulder, CO 80304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS TRUJILLO
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 413-6212
GUILHERME ZAVASCHI
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
MS. REGINA CANNON REGISTERED PSYCHOTHE
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
AMANDA FIELDER
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CLARISSA MONET DUBOSE
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
BLAKE EDMOND
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
DR. KRISTINA F HINDERT MD
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CHERLYN WAGER B.A.
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 441-0592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Rose's NPI number?

The NPI number for Kelly Rose is 1104044890. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Kelly Rose located?

Kelly Rose practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 413-6233.

What is Kelly Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.