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RIESE ROSE
NPI 1992303911
Counselor - Mental Health in Boulder, CO

Active since October 12, 2020PECOS Enrolled
4478 HAMILTON CT, BOULDER, CO 80305(720) 310-5082 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riese Rose NPPES

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

RIESE ROSE (NPI 1992303911) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992303911
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRIESE ROSE
Location Address4478 HAMILTON CTBoulder, CO 80305-5554
Mailing Address4478 Hamilton CtBoulder, CO 80305-5554 · (720) 310-5082
Phone(720) 310-5082
Sole ProprietorYes
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1992303911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4478 HAMILTON CT, Boulder, CO 80305
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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)

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

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.

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 Riese Rose's NPI number?

The NPI number for Riese Rose is 1992303911. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Riese Rose located?

Riese Rose practices at 4478 Hamilton Ct, Boulder, CO 80305. The listed phone number is (720) 310-5082.

What is Riese Rose's specialty?

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

Is Riese Rose enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Riese Rose was last updated on October 12, 2020. 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.