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ROSETTE CODNER LPC
NPI 1104790120
Counselor in Tucson, AZ

Active since October 02, 2025PECOS Enrolled
2600 N WYATT DR, TUCSON, AZ 85712(520) 324-5437 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosette Codner Lpc NPPES

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

ROSETTE CODNER LPC (NPI 1104790120) is an individual counselor in Tucson, Arizona, licensed in Arizona (LPC-24170) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104790120
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameROSETTE CODNERCredential: LPC
Location Address2600 N WYATT DRTucson, AZ 85712-6106
Mailing Address2600 N Wyatt DrTucson, AZ 85712-6106 · (520) 324-5437
Phone(520) 324-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1104790120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LPC-24170
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2600 N WYATT DR, Tucson, AZ 85712
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosette Codner Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103316344
PECOS Enrollment IDI20251106003364
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

OLIVIA VINIKOOR MS, CCC-SLP
Speech-Language Pathologist
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-5437
MISS LORI ELIZABETH GROENEWOLD LCSW
Social Worker (Clinical)
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-2289
ALYSSA MARIE ZUCCARO MS, CCC-SLP
Speech-Language Pathologist
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-3027
BRIAN L GRACY PT
Physical Therapist
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-3600
CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES
Clinic/Center (Multi-Specialty)
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-5437
CATHY DERUITER SLP
Speech-Language Pathologist
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-5437
BARRY ELLIS LONDON MD
Pediatrics
2600 N WYATT DR, CHILDREN'S CLINICS
TUCSON, AZ 85712
Pima County (520) 324-5437
KRISTEN D REVIS PT
Physical Therapist
2600 N WYATT DR
TUCSON, AZ 85712
Pima County (520) 324-3600

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 Rosette Codner's NPI number?

The NPI number for Rosette Codner is 1104790120. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Rosette Codner located?

Rosette Codner practices at 2600 N Wyatt Dr, Tucson, AZ 85712. The listed phone number is (520) 324-5437.

What is Rosette Codner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Rosette Codner enrolled in Medicare?

Yes. Rosette Codner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rosette Codner was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.