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KRYSTAL KIM ROSE
NPI 1366179947
Counselor in Spokane, WA

Active since August 04, 2022
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208(509) 838-4561 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Dec 1, 2022, Aug 25, 2022 and 1 more (4 updates tracked since 2022).

About Krystal Kim Rose NPPES

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

KRYSTAL KIM ROSE (NPI 1366179947) is an individual counselor in Spokane, Washington, licensed in Washington (CG61350349) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1366179947
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKRYSTAL KIM ROSE
Location Address5901 N LIDGERWOOD ST STE 115Spokane, WA 99208-1122
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Phone(509) 838-4561
Sole ProprietorYes
Enumeration DateAugust 4, 2022
Last NPPES UpdateMay 19, 20234 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1366179947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG61350349
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.
Also ListedPeer SpecialistTaxonomy 175T00000X
5901 N LIDGERWOOD ST STE 115, Spokane, WA 99208
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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.

MISS DANIELLE IRENE EDELEN I
Student in an Organized Health Care Education/Training Program
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
CHANNON MARIE SUMMER-DUPREE BS
Counselor
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
LILLIAN JO GRAHAM BA
Student in an Organized Health Care Education/Training Program
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
REGINA CHRISTINE RICH
Student in an Organized Health Care Education/Training Program
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
PAYTEN GRACE SOMES
Counselor
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
KARA GRACE CHRISTIANSEN
Student in an Organized Health Care Education/Training Program
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
COLLEEN YEAGER
Counselor
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651
REBEKAH HAGREEN
Counselor
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208
Spokane County (509) 838-4651

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 Krystal Rose's NPI number?

The NPI number for Krystal Rose is 1366179947. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Krystal Rose located?

Krystal Rose practices at 5901 N Lidgerwood St Ste 115, Spokane, WA 99208. The listed phone number is (509) 838-4561.

What is Krystal Rose's specialty?

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

When was this NPI record last updated?

The NPPES record for Krystal Rose was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.