JOHANNA GAIA ROSE LMFT
NPI 1922763978
Marriage & Family Therapist in Coon Rapids, MN

Active since November 04, 2021PECOS EnrolledAccepts Medicare Assignment
3875 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(701) 388-8255 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanna Gaia Rose Lmft NPPES

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

JOHANNA GAIA ROSE LMFT (NPI 1922763978) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (3868) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922763978
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJOHANNA GAIA ROSECredential: LMFT
Location Address3875 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2518
Mailing Address3875 Coon Rapids Blvd NwCoon Rapids, MN 55433-2518
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 4, 2021
NPPES CertifiedOctober 31, 2021
NPI 1922763978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 3868
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3875 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johanna Gaia Rose Lmft 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 ID840730107
PECOS Enrollment IDI20240912003600
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 5

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

Obstetrics & Gynecology
3875 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Student in an Organized Health Care Education/Training Program
3875 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Family)
3875 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Marriage & Family Therapist
3875 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Counselor (Professional)
3875 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Johanna Rose's NPI number?

The NPI number for Johanna Rose is 1922763978. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Johanna Rose located?

Johanna Rose practices at 3875 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (701) 388-8255.

What is Johanna Rose's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Johanna Rose enrolled in Medicare?

Yes. Johanna 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.

What insurance does Johanna Rose accept?

Health plans from HealthPartners list Johanna 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 Johanna Rose was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.