Healthcare Provider Details

I. General information

NPI: 1013822501
Provider Name (Legal Business Name): ZANE ROSEN LPCC, LADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 8TH AVE S
HOPKINS MN
55343-7613
US

IV. Provider business mailing address

51 8TH AVE S
HOPKINS MN
55343-7613
US

V. Phone/Fax

Practice location:
  • Phone: 412-877-4707
  • Fax:
Mailing address:
  • Phone: 412-877-4707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number306933
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: