Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366179947 Individual Practitioner Female Practitioner

Krystal Kim Rose

Counselor • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Krystal Rose is a registered healthcare professional specializing in Counselor in Spokane, WA. Practice services are available at 5901 N LIDGERWOOD ST STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5901 N Lidgerwood St Ste 115

Spokane, WA 992081122

Telephone 5098384561
Associated Practice Facility / Clinic
🏢 Frontier Behavioral Health Facility NPI 1861495327

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
987 Specialists

Practicing in Spokane, WA (11556 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61350349

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1134019912
Nadia Albert

Counselor

NPI 1669147849
NPI 1669225546
NPI 1841977808

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Peer Specialist

NPI Profile Active August 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2022

Registered at 5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 992081122 (Tel: 5098384561)

📍
Updated Business Mailing Address August 04, 2022

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated August 04, 2022

Recorded as KRYSTAL ROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366179947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2022
Last Update: May 19, 2023
Sole Proprietor: Yes

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.