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MRS. LISA CHONG ROSE LPCC
NPI 1750748422
Counselor - Mental Health in Roseville, MN

Active since January 26, 2016PECOS EnrolledAccepts Medicare Assignment
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113(651) 364-9381(651) 364-9382 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2021, Jan 26, 2016 (2 updates tracked since 2016).

About Mrs. Lisa Chong Rose Lpcc NPPES

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

MRS. LISA CHONG ROSE LPCC (NPI 1750748422) is an individual mental health provider in Roseville, Minnesota, licensed in Minnesota (2851) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750748422
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LISA CHONG ROSECredential: LPCC
Location Address2680 SNELLING AVE N STE 200Roseville, MN 55113-1879
Mailing Address2680 Snelling Ave N Ste 200Roseville, MN 55113-1879 · (651) 364-9381 · Fax (651) 364-9382
Phone(651) 364-9381
Fax(651) 364-9382
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 26, 2016
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1750748422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 2851
2680 SNELLING AVE N STE 200, Roseville, MN 55113
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Lisa Chong Jou

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Chong Rose Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113379579
PECOS Enrollment IDI20240122001608
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
5.0 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

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

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.

STACY L STANLEY LMFT
Marriage & Family Therapist
2680 SNELLING AVE N STE 200
SAINT PAUL, MN 55113
Ramsey County (651) 364-9381
MRS. LAURA JANE MORTENSON LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
SARAH M CONWAY LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
LUIS GARIBAY MSW, LGSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 273-2157
SHERRY ASPLUND
Counselor (Mental Health)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
JOSHUA C KOLETAR MSW, LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
KAYLAH CHRISTINE VOGT
Counselor (Professional)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
TAYLOR A TOLBERT BS, LADC
Counselor (Addiction (Substance Use Disorder))
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381

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 Lisa Rose's NPI number?

The NPI number for Lisa Rose is 1750748422. It was assigned to this individual provider in the NPPES registry on January 26, 2016. The provider is also known as Miss Lisa Chong Jou.

Where is Lisa Rose located?

Lisa Rose practices at 2680 Snelling Ave N Ste 200, Roseville, MN 55113. The listed phone number is (651) 364-9381.

What is Lisa Rose's specialty?

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

Is Lisa Rose enrolled in Medicare?

Yes. Lisa Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rose reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). The 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 Lisa Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Rose accept?

Health plans from HealthPartners list Lisa Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Rose was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.