ROSE PSYCHOTHERAPY
NPI 1285409391
Clinic/Center - Mental Health (Including Community Mental Health Center) in Minnetonka, MN

Active since November 17, 2023
16204 HIGHWAY 7, MINNETONKA, MN 55345(612) 293-8564 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2024, Nov 17, 2023 (2 updates tracked since 2023).

About Rose Psychotherapy NPPES

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

ROSE PSYCHOTHERAPY (NPI 1285409391) is a healthcare organization registered as a mental health (including community mental health center) in Minnetonka, Minnesota and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Shakopee and lists Callie Rose, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1285409391
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROSE PSYCHOTHERAPY
Location Address16204 HIGHWAY 7Minnetonka, MN 55345-3405
Mailing Address7771 157th St WSaint Paul, MN 55124-6362
Organization SubpartNo
Authorized OfficialCallie RoseOwner/provider · (612) 293-8564
Enumeration DateNovember 17, 2023
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1285409391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
16204 HIGHWAY 7, Minnetonka, MN 55345

Secondary Practice Location 1

Location 18170 Old Carriage Ct Ste 200Shakopee, MN 55379-3169 · Phone (612) 293-8564

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Psychotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1235715467
14050 NICOLLET AVE FL 3
Burnsville, MN 55337
(651) 313-8080
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rose Psychotherapy's NPI number?

The NPI number for Rose Psychotherapy is 1285409391. It was assigned to this organization in the NPPES registry on November 17, 2023.

Where is Rose Psychotherapy located?

Rose Psychotherapy is located at 16204 Highway 7, Minnetonka, MN 55345. The listed phone number is (612) 293-8564.

What is Rose Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Rose Psychotherapy enrolled in Medicare?

Yes. Rose Psychotherapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Psychotherapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Rose Psychotherapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose Psychotherapy was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.