Kelly Rose, LMFT
NPI 1003170143 · Mental Health Counselor · Wayzata, MN
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Rose, LMFT is a Mental Health Counselor provider in Wayzata, MN (NPI 1003170143).
Provider details
- NPI number
- 1003170143
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2494 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2024-05-30
- Certified
- 2023-10-19
Frequently asked questions
- What is Kelly Rose's NPI number?
- Kelly Rose's National Provider Identifier (NPI) is 1003170143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Rose's specialty?
- Kelly Rose is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Rose located?
- Kelly Rose's practice location on file with NPPES is 3701 Shoreline Dr Ste 102a, Wayzata, MN 55391-4000.
- What is Kelly Rose's phone number?
- The practice phone number listed in the NPPES registry for Kelly Rose is (651) 231-7471.
- Does Kelly Rose accept Medicare?
- Kelly Rose is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Rose's NPI active?
- Yes — Kelly Rose's NPI (1003170143) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.