STEPHANIE DIANNE ROSE (PH.D.) – Counseling Psychologist, NPI 1750743373
Counseling Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
Provider Addresses for STEPHANIE DIANNE ROSE (PH.D.)
1201, West Main Street, Crawfordsville, Montgomery County, Indiana, 47933, United States
CRAWFORDSVILLE, IN 479331106
Phone: (937) 532-4914
Type: Mailing
1480 DARLINGTON AVE
CRAWFORDSVILLE, IN 479332007
Phone: (765) 362-2852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160411001089 | I | Clinical Psychologist | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 816 | 142 | $0 |
| 96156 | Assessment of health behavior | 151 | 76 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 102 | 102 | $0 |
| 90834 | Psychotherapy, 45 minutes | 33 | 17 | $0 |
Insurance plans in this area (ZIP 47933)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Clinical Psychologist | TX | |
| Clinical Psychologist | IN |
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