Healthcare Provider Details

I. General information

NPI: 1447980131
Provider Name (Legal Business Name): ROSE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 E CAPITOL AVE STE 100
BISMARCK ND
58501-2102
US

IV. Provider business mailing address

1605 E CAPITOL AVE STE 100
BISMARCK ND
58501-2102
US

V. Phone/Fax

Practice location:
  • Phone: 701-471-7092
  • Fax: 701-401-0267
Mailing address:
  • Phone: 701-471-7092
  • Fax: 701-401-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATIE R KRUEGER
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 701-818-0265